Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,623.41 / $10,000.00	Facility		$1,548.82	$5,623.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $10,000.00	Professional		$4,365.16	$5,370.32	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $9,549.93	Professional		$4,570.88	$6,309.57	$9,549.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $7,244.36	Professional		$4,786.30	$5,248.07	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $9,549.93	Professional		$1,513.56	$5,623.41	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $8,511.38	Professional		$4,265.80	$5,128.61	$8,511.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,025.60 / $7,413.10	Professional		$5,623.41	$6,025.60	$7,413.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $9,549.93	Facility		$4,365.16	$6,309.57	$9,549.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $8,709.64	Professional		$1,778.28	$1,778.28	$8,709.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $10,000.00	Facility		$4,073.80	$5,623.41	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $10,000.00	Professional		$4,073.80	$5,623.41	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $9,332.54	Professional		$3,801.89	$5,495.41	$9,332.54