Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $9,549.93	Facility		$1,174.90	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,187.76	Professional		$1,000.00	$1,174.90	$2,187.76
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 $1,096.48 / $1,621.81 / $2,754.23	Professional		$1,096.48	$1,621.81	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $19,054.61	Professional		$1,202.26	$1,737.80	$19,054.61
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 $1,071.52 / $1,348.96 / $2,344.23	Professional		$1,071.52	$1,348.96	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,479.11	Professional		$1,000.00	$1,258.93	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,570.40	Professional		$1,380.38	$1,737.80	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,238.72	Facility		$1,047.13	$1,445.44	$2,238.72
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 $1,000.00 / $1,380.38 / $10,000.00	Facility		$1,000.00	$1,380.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $10,000.00	Professional		$1,000.00	$1,380.38	$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 $831.76 / $1,258.93 / $2,238.72	Professional		$831.76	$1,258.93	$2,238.72