Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,760.83 / $15,488.17	Facility		$1,202.26	$6,760.83	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,884.03	Professional		$954.99	$1,148.15	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,862.09	Professional		$977.24	$1,348.96	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $3,548.13	Professional		$1,023.29	$2,570.40	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,090.30	Facility		$1,737.80	$1,737.80	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,041.74	Professional		$977.24	$1,230.27	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,288.25	Professional		$891.25	$1,071.52	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Professional		$1,348.96	$1,348.96	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,905.46	Facility		$977.24	$1,258.93	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $10,000.00	Facility		$912.01	$1,348.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $10,000.00	Professional		$912.01	$1,348.96	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $23,988.33	Facility		$6,456.54	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,905.46	Professional		$794.33	$1,122.02	$1,905.46