Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,495.41 / $15,135.61	Facility		$1,230.27	$5,495.41	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,398.83	Professional		$977.24	$1,148.15	$2,398.83
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 $1,096.48 / $1,584.89 / $2,754.23	Professional		$1,096.48	$1,584.89	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $12,022.64	Professional		$1,096.48	$1,698.24	$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 $1,047.13 / $1,348.96 / $2,290.87	Professional		$1,047.13	$1,348.96	$2,290.87
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 $1,412.54 / $1,778.28 / $2,511.89	Professional		$1,412.54	$1,778.28	$2,511.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,187.76	Facility		$1,023.29	$1,412.54	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $9,549.93	Facility		$977.24	$1,380.38	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $9,549.93	Professional		$977.24	$1,380.38	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $23,988.33	Facility		$6,456.54	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,187.76	Professional		$812.83	$1,258.93	$2,187.76