Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,888.44 / $10,964.78	Facility		$1,288.25	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,187.76	Professional		$1,047.13	$1,258.93	$2,187.76
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 $1,096.48 / $1,479.11 / $2,089.30	Professional		$1,096.48	$1,479.11	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,995.26	Professional		$776.25	$1,288.25	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,454.71	Professional		$1,071.52	$1,479.11	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,090.30	Professional		$1,000.00	$1,230.27	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,754.23	Professional		$1,445.44	$1,905.46	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,398.83	Facility		$1,148.15	$1,584.89	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $10,000.00	Facility		$1,071.52	$1,548.82	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $10,000.00	Professional		$1,071.52	$1,548.82	$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 $912.01 / $1,479.11 / $2,398.83	Professional		$912.01	$1,479.11	$2,398.83