Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,011.87 / $8,317.64	Facility		$1,023.29	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,995.26	Professional		$831.76	$954.99	$1,995.26
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 $912.01 / $1,318.26 / $2,290.87	Professional		$912.01	$1,318.26	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $8,317.64	Professional		$912.01	$1,412.54	$8,317.64
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 $891.25 / $1,258.93 / $1,949.84	Professional		$891.25	$1,258.93	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,230.27	Professional		$812.83	$1,047.13	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,137.96	Professional		$1,479.11	$1,862.09	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,905.46	Facility		$851.14	$1,230.27	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $10,000.00	Facility		$870.96	$1,230.27	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $10,000.00	Professional		$870.96	$1,230.27	$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 $707.95 / $1,148.15 / $1,905.46	Professional		$707.95	$1,148.15	$1,905.46