Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,630.78 / $9,549.93	Facility		$1,023.29	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,905.46	Professional		$891.25	$1,023.29	$1,905.46
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 $954.99 / $1,412.54 / $2,454.71	Professional		$954.99	$1,412.54	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $5,623.41	Professional		$1,122.02	$1,513.56	$5,623.41
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 $954.99 / $1,202.26 / $2,041.74	Professional		$954.99	$1,202.26	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,288.25	Professional		$870.96	$1,096.48	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,238.72	Professional		$1,288.25	$1,621.81	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,949.84	Facility		$912.01	$1,288.25	$1,949.84
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 $891.25 / $1,258.93 / $10,000.00	Facility		$891.25	$1,258.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $10,000.00	Professional		$891.25	$1,258.93	$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 $758.58 / $1,122.02 / $1,949.84	Professional		$758.58	$1,122.02	$1,949.84