Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $8,317.64	Facility		$1,202.26	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,398.83	Professional		$1,047.13	$1,230.27	$2,398.83
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 $1,148.15 / $1,698.24 / $2,884.03	Professional		$1,148.15	$1,698.24	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $10,000.00	Professional		$1,096.48	$1,445.44	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,454.71	Professional		$1,096.48	$1,412.54	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,691.53	Professional		$1,584.89	$1,995.26	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,344.23	Facility		$1,096.48	$1,513.56	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $9,549.93	Facility		$1,071.52	$1,513.56	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $9,549.93	Professional		$1,071.52	$1,513.56	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $19,054.61	Facility		$5,495.41	$9,332.54	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,344.23	Professional		$870.96	$1,348.96	$2,344.23