Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $5,248.07	Facility		$1,023.29	$2,570.40	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,548.82	Professional		$724.44	$1,047.13	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $5,370.32	Facility		$1,348.96	$1,348.96	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,000.00	Professional		$537.03	$537.03	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,230.27	Professional		$1,047.13	$1,096.48	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,630.27 / $6,165.95	Facility		$933.25	$2,630.27	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $2,238.72	Professional		$645.65	$954.99	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,905.46	Professional		$1,348.96	$1,479.11	$1,905.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,905.46	Facility		$812.83	$1,071.52	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $2,818.38	Professional		$645.65	$645.65	$2,818.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $10,000.00	Facility		$954.99	$1,584.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $10,000.00	Professional		$954.99	$1,621.81	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,348.96 / $1,621.81	Facility		$562.34	$1,348.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,548.82	Professional		$562.34	$676.08	$1,548.82