Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,495.41 / $10,000.00	Facility		$1,148.15	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,238.72	Professional		$933.25	$1,071.52	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,570.40	Professional		$1,000.00	$1,479.11	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $14,454.40	Professional		$1,023.29	$1,584.89	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,137.96	Professional		$977.24	$1,288.25	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,344.23	Professional		$1,380.38	$1,737.80	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,089.30	Facility		$954.99	$1,348.96	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $10,000.00	Facility		$954.99	$1,318.26	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $10,000.00	Professional		$954.99	$1,318.26	$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 / $1,202.26 / $2,041.74	Professional		$794.33	$1,202.26	$2,041.74