Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,365.16 / $8,912.51	Facility		$1,288.25	$4,365.16	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,818.38	Professional		$1,096.48	$1,288.25	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,019.95	Professional		$1,202.26	$1,778.28	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $19,054.61	Professional		$1,230.27	$1,905.46	$19,054.61
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 $1,174.90 / $1,479.11 / $2,570.40	Professional		$1,174.90	$1,479.11	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,621.81	Professional		$1,096.48	$1,380.38	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,818.38	Professional		$1,584.89	$1,995.26	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,511.89	Facility		$1,148.15	$1,584.89	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $10,000.00	Facility		$1,122.02	$1,548.82	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $10,000.00	Professional		$1,122.02	$1,548.82	$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 $912.01 / $1,412.54 / $2,454.71	Professional		$912.01	$1,412.54	$2,454.71