Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,888.44 / $10,964.78	Facility		$954.99	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,862.09	Professional		$758.58	$891.25	$1,862.09
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 / $1,230.27 / $2,089.30	Professional		$831.76	$1,230.27	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $14,454.40	Professional		$851.14	$1,318.26	$14,454.40
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 $831.76 / $1,071.52 / $1,778.28	Professional		$831.76	$1,071.52	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,148.15	Professional		$758.58	$977.24	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,949.84	Professional		$1,174.90	$1,479.11	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,737.80	Facility		$794.33	$1,122.02	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $10,000.00	Facility		$812.83	$1,096.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $10,000.00	Professional		$812.83	$1,096.48	$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 $660.69 / $1,000.00 / $1,698.24	Professional		$660.69	$1,000.00	$1,698.24