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 $1,000.00 / $1,148.15 / $2,511.89	Professional		$1,000.00	$1,148.15	$2,511.89
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 $1,096.48 / $1,584.89 / $2,754.23	Professional		$1,096.48	$1,584.89	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $5,495.41	Professional		$1,258.93	$1,698.24	$5,495.41
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 $1,071.52 / $1,412.54 / $2,344.23	Professional		$1,071.52	$1,412.54	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,479.11	Professional		$977.24	$1,230.27	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,570.40	Professional		$1,479.11	$1,862.09	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,238.72	Facility		$1,047.13	$1,445.44	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $7,413.10	Facility		$1,023.29	$1,412.54	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $7,413.10	Professional		$1,023.29	$1,412.54	$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 $851.14 / $1,318.26 / $2,238.72	Professional		$851.14	$1,318.26	$2,238.72