Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,888.44 / $10,964.78	Facility		$1,230.27	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,290.87	Professional		$1,000.00	$1,202.26	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,884.03	Professional		$1,148.15	$1,659.59	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $12,022.64	Professional		$1,202.26	$1,778.28	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,454.71	Professional		$1,000.00	$1,288.25	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,698.24	Professional		$1,096.48	$1,412.54	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,630.27	Professional		$1,288.25	$1,584.89	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,187.76	Facility		$1,047.13	$1,412.54	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $10,000.00	Facility		$1,000.00	$1,348.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $10,000.00	Professional		$1,000.00	$1,348.96	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,187.76	Professional		$794.33	$1,230.27	$2,187.76