Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,495.41 / $10,000.00	Facility		$912.01	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,819.70	Professional		$758.58	$891.25	$1,819.70
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 $812.83 / $1,202.26 / $2,089.30	Professional		$812.83	$1,202.26	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $6,918.31	Professional		$831.76	$1,288.25	$6,918.31
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 / $1,071.52 / $1,778.28	Professional		$794.33	$1,071.52	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,174.90	Professional		$776.25	$1,000.00	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,949.84	Professional		$1,148.15	$1,445.44	$1,949.84
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 $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $7,413.10	Facility		$776.25	$1,071.52	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $7,413.10	Professional		$776.25	$1,071.52	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,659.59	Professional		$630.96	$977.24	$1,659.59