Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,888.44 / $10,964.78	Facility		$1,778.28	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $3,311.31	Professional		$1,548.82	$1,778.28	$3,311.31
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 $1,659.59 / $2,454.71 / $4,168.69	Professional		$1,659.59	$2,454.71	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $12,022.64	Professional		$1,778.28	$2,570.40	$12,022.64
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 $1,659.59 / $2,187.76 / $3,548.13	Professional		$1,659.59	$2,187.76	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,187.76	Professional		$1,479.11	$1,862.09	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $3,890.45	Professional		$2,344.23	$2,884.03	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,467.37	Facility		$1,584.89	$2,238.72	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $10,000.00	Facility		$1,584.89	$2,187.76	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $10,000.00	Professional		$1,584.89	$2,187.76	$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 $1,318.26 / $2,041.74 / $3,388.44	Professional		$1,318.26	$2,041.74	$3,388.44