Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,495.41 / $10,000.00	Facility		$870.96	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,548.82	Professional		$645.65	$794.33	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,258.93	Professional		$660.69	$891.25	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $10,000.00	Professional		$724.44	$1,122.02	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,513.56	Professional		$616.60	$831.76	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,949.84	Professional		$616.60	$776.25	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,659.59	Professional		$707.95	$977.24	$1,659.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $1,445.44	Facility		$691.83	$891.25	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $10,000.00	Facility		$575.44	$870.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $10,000.00	Professional		$575.44	$870.96	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,318.26	Professional		$512.86	$831.76	$1,318.26