Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,495.41 / $10,000.00	Facility		$1,412.54	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,884.03	Professional		$1,122.02	$1,318.26	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $30,199.52 / $30,199.52	Facility		$26,915.35	$30,199.52	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,162.28	Professional		$1,230.27	$1,819.70	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $16,595.87	Professional		$1,348.96	$1,949.84	$16,595.87
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 $1,202.26 / $1,513.56 / $2,630.27	Professional		$1,202.26	$1,513.56	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,698.24	Professional		$1,122.02	$1,445.44	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,884.03	Professional		$1,584.89	$1,949.84	$2,884.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,570.40	Facility		$1,174.90	$1,621.81	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $10,000.00	Facility		$1,096.48	$1,584.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $10,000.00	Professional		$1,096.48	$1,584.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,511.89	Professional		$954.99	$1,445.44	$2,511.89