Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,888.44 / $10,964.78	Facility		$912.01	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,737.80	Professional		$724.44	$851.14	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $22,387.21 / $38,018.94	Facility		$12,882.50	$22,387.21	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,995.26	Professional		$794.33	$1,174.90	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $10,000.00	Professional		$870.96	$1,258.93	$10,000.00
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 $776.25 / $1,000.00 / $1,698.24	Professional		$776.25	$1,000.00	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,071.52	Professional		$707.95	$912.01	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,862.09	Professional		$1,071.52	$1,348.96	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,584.89	Facility		$758.58	$1,047.13	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $10,000.00	Facility		$741.31	$1,023.29	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $10,000.00	Professional		$741.31	$1,023.29	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $18,197.01 / $40,738.03	Facility		$10,471.29	$18,197.01	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,621.81	Professional		$616.60	$933.25	$1,621.81