Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,495.41 / $10,000.00	Facility		$1,258.93	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,454.71	Professional		$1,047.13	$1,258.93	$2,454.71
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 $1,148.15 / $1,698.24 / $2,951.21	Professional		$1,148.15	$1,698.24	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $6,918.31	Professional		$1,174.90	$1,698.24	$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 $1,122.02 / $1,445.44 / $2,511.89	Professional		$1,122.02	$1,445.44	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,621.81	Professional		$1,071.52	$1,380.38	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,754.23	Professional		$1,584.89	$1,995.26	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,344.23	Facility		$1,122.02	$1,513.56	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $7,413.10	Facility		$1,096.48	$1,479.11	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $7,413.10	Professional		$1,096.48	$1,479.11	$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 $891.25 / $1,380.38 / $2,290.87	Professional		$891.25	$1,380.38	$2,290.87