Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,897.79 / $8,912.51	Facility		$1,174.90	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,089.30	Professional		$912.01	$1,122.02	$2,089.30
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 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $5,011.87 / $6,918.31	Professional		$1,000.00	$5,011.87	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $1,698.24	Facility		$34.67	$34.67	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,995.26	Professional		$891.25	$1,148.15	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,258.93	Professional		$870.96	$1,047.13	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,412.54	Professional		$1,174.90	$1,174.90	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,862.09	Facility		$954.99	$1,202.26	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $10,000.00	Facility		$870.96	$1,258.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $10,000.00	Professional		$870.96	$1,258.93	$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 $724.44 / $1,071.52 / $1,819.70	Professional		$724.44	$1,071.52	$1,819.70