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 $812.83 / $954.99 / $1,995.26	Professional		$812.83	$954.99	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,238.72	Professional		$912.01	$1,318.26	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,412.54	Professional		$794.33	$1,000.00	$1,412.54
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 / $1,230.27 / $1,905.46	Professional		$891.25	$1,230.27	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,230.27	Professional		$812.83	$1,023.29	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,089.30	Professional		$1,479.11	$1,862.09	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,905.46	Facility		$851.14	$1,174.90	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $9,549.93	Facility		$870.96	$1,202.26	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $9,549.93	Professional		$870.96	$1,202.26	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,862.09	Professional		$707.95	$1,148.15	$1,862.09