Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,258.93	Professional		$660.69	$1,000.00	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $851.14	Professional		$724.44	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,137.96	Professional		$1,348.96	$1,513.56	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $724.44 / $1,047.13	Facility		$162.18	$724.44	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $1,318.26	Facility		$104.71	$190.55	$1,318.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $1,318.26	Professional		$104.71	$190.55	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $457.09 / $1,000.00	Facility		$60.26	$457.09	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,258.93	Professional		$524.81	$741.31	$1,258.93