Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,762.47 / $15,848.93	Facility		$1,737.80	$7,762.47	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $3,235.94	Professional		$954.99	$1,148.15	$3,235.94
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 $954.99 / $1,318.26 / $1,819.70	Professional		$954.99	$1,318.26	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $6,309.57 / $8,317.64	Professional		$1,000.00	$6,309.57	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,090.30	Facility		$1,698.24	$1,698.24	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,995.26	Professional		$912.01	$1,202.26	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,258.93	Professional		$870.96	$1,071.52	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,412.54	Professional		$1,230.27	$1,230.27	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,949.84	Facility		$977.24	$1,230.27	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $10,000.00	Facility		$891.25	$1,318.26	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $10,000.00	Professional		$891.25	$1,318.26	$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 $758.58 / $1,071.52 / $1,862.09	Professional		$758.58	$1,071.52	$1,862.09