Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,630.78 / $9,549.93	Facility		$1,023.29	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,737.80	Professional		$794.33	$933.25	$1,737.80
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 $812.83 / $1,096.48 / $1,659.59	Professional		$812.83	$1,096.48	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,288.25	Professional		$794.33	$891.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,951.21 / $3,311.31	Facility		$524.81	$2,951.21	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,659.59	Professional		$630.96	$1,023.29	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,513.56	Professional		$741.31	$912.01	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,737.80	Professional		$1,000.00	$1,258.93	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,819.70	Facility		$812.83	$1,122.02	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,479.11	Professional		$870.96	$870.96	$1,479.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $3,548.13	Facility		$812.83	$1,096.48	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $3,548.13	Professional		$812.83	$1,096.48	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $10,471.29 / $23,988.33	Facility		$2,137.96	$10,471.29	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,659.59	Professional		$676.08	$1,047.13	$1,659.59