Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,128.61 / $14,791.08	Facility		$1,230.27	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,019.95	Professional		$1,000.00	$1,230.27	$3,019.95
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 $1,023.29 / $1,412.54 / $1,949.84	Professional		$1,023.29	$1,412.54	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $4,466.84 / $6,918.31	Professional		$1,071.52	$4,466.84	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,862.09	Facility		$1,819.70	$1,819.70	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,137.96	Professional		$1,023.29	$1,288.25	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,318.26	Professional		$933.25	$1,122.02	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,698.24	Professional		$1,412.54	$1,412.54	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,995.26	Facility		$1,047.13	$1,318.26	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $10,000.00	Facility		$977.24	$1,412.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $10,000.00	Professional		$977.24	$1,412.54	$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 $851.14 / $1,174.90 / $2,041.74	Professional		$851.14	$1,174.90	$2,041.74