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 $977.24 / $1,122.02 / $2,884.03	Professional		$977.24	$1,122.02	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,691.53	Professional		$1,071.52	$1,584.89	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $10,000.00	Professional		$1,174.90	$1,659.59	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
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 $954.99 / $1,230.27 / $1,445.44	Professional		$954.99	$1,230.27	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,511.89	Professional		$1,479.11	$1,862.09	$2,511.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,187.76	Facility		$1,023.29	$1,445.44	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
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 $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,187.76	Professional		$831.76	$1,288.25	$2,187.76