Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,888.44 / $10,964.78	Facility		$1,047.13	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $2,041.74	Professional		$870.96	$1,000.00	$2,041.74
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 $954.99 / $1,380.38 / $2,398.83	Professional		$954.99	$1,380.38	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $5,623.41	Professional		$1,096.48	$1,479.11	$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 $912.01 / $1,202.26 / $2,041.74	Professional		$912.01	$1,202.26	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,288.25	Professional		$851.14	$1,096.48	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,238.72	Professional		$1,288.25	$1,584.89	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,905.46	Facility		$891.25	$1,230.27	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $11,481.54	Facility		$891.25	$1,230.27	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $11,481.54	Professional		$891.25	$1,230.27	$11,481.54
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 $724.44 / $1,122.02 / $1,905.46	Professional		$724.44	$1,122.02	$1,905.46