Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,011.87 / $12,022.64	Facility		$1,318.26	$5,011.87	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $4,466.84	Professional		$977.24	$1,584.89	$4,466.84
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 $1,071.52 / $1,548.82 / $2,630.27	Professional		$1,071.52	$1,548.82	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $12,022.64	Professional		$1,148.15	$1,659.59	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,290.87	Professional		$1,047.13	$1,380.38	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,412.54	Professional		$933.25	$1,202.26	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,454.71	Professional		$1,513.56	$1,905.46	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,187.76	Facility		$1,000.00	$1,380.38	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $10,000.00	Facility		$1,000.00	$1,380.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $10,000.00	Professional		$1,000.00	$1,380.38	$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 $831.76 / $1,258.93 / $2,137.96	Professional		$831.76	$1,258.93	$2,137.96