Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,495.41 / $10,000.00	Facility		$933.25	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,778.28	Professional		$741.31	$870.96	$1,778.28
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 $831.76 / $1,202.26 / $2,089.30	Professional		$831.76	$1,202.26	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $14,454.40	Professional		$831.76	$1,288.25	$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 $794.33 / $1,023.29 / $1,778.28	Professional		$794.33	$1,023.29	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,122.02	Professional		$758.58	$954.99	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,905.46	Professional		$1,096.48	$1,380.38	$1,905.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,698.24	Facility		$776.25	$1,071.52	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $9,549.93	Facility		$776.25	$1,047.13	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $9,549.93	Professional		$776.25	$1,047.13	$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 $630.96 / $954.99 / $1,659.59	Professional		$630.96	$954.99	$1,659.59