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 / $8,317.64	Facility		$1,230.27	$5,128.61	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,951.21	Professional		$954.99	$1,202.26	$2,951.21
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 $1,071.52 / $1,548.82 / $2,691.53	Professional		$1,071.52	$1,548.82	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $10,000.00	Professional		$1,023.29	$1,479.11	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,238.72	Professional		$1,023.29	$1,348.96	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,737.80	Professional		$1,148.15	$1,445.44	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,454.71	Professional		$1,348.96	$1,698.24	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,187.76	Facility		$1,000.00	$1,412.54	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $9,549.93	Facility		$1,023.29	$1,412.54	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $9,549.93	Professional		$1,023.29	$1,412.54	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,089.30	Professional		$776.25	$1,258.93	$2,089.30