Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,888.44 / $14,791.08	Facility		$1,819.70	$5,888.44	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $3,630.78	Professional		$1,584.89	$1,819.70	$3,630.78
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 $1,698.24 / $2,511.89 / $4,365.16	Professional		$1,698.24	$2,511.89	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $6,918.31	Professional		$1,819.70	$2,691.53	$6,918.31
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 $1,288.25 / $1,995.26 / $3,715.35	Professional		$1,288.25	$1,995.26	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,290.87	Professional		$1,513.56	$1,905.46	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $4,073.80	Professional		$1,445.44	$1,905.46	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,311.31	Facility		$1,380.38	$2,137.96	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $10,000.00	Facility		$1,202.26	$2,137.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $10,000.00	Professional		$1,202.26	$2,137.96	$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 $1,023.29 / $1,698.24 / $3,388.44	Professional		$1,023.29	$1,698.24	$3,388.44