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 $645.65 / $891.25 / $1,698.24	Professional		$645.65	$891.25	$1,698.24
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 $831.76 / $1,230.27 / $2,137.96	Professional		$831.76	$1,230.27	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,318.26	Professional		$794.33	$977.24	$1,318.26
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 $758.58 / $1,000.00 / $1,819.70	Professional		$758.58	$1,000.00	$1,819.70
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 $1,023.29 / $1,288.25 / $1,995.26	Professional		$1,023.29	$1,288.25	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,621.81	Facility		$776.25	$1,023.29	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $7,413.10	Facility		$741.31	$1,023.29	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $7,413.10	Professional		$741.31	$1,023.29	$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 $588.84 / $933.25 / $1,621.81	Professional		$588.84	$933.25	$1,621.81