Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,000.00	Facility		$977.24	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,621.81	Professional		$812.83	$1,000.00	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,041.74	Facility		$1,905.46	$1,905.46	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,344.23	Professional		$1,122.02	$1,122.02	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Professional		$1,000.00	$1,000.00	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,174.90	Facility		$1,023.29	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,691.53	Professional		$1,348.96	$1,905.46	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,862.09	Professional		$1,000.00	$1,258.93	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,511.89	Facility		$812.83	$1,412.54	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,230.27	Professional		$1,023.29	$1,122.02	$1,230.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $4,073.80	Facility		$1,023.29	$1,548.82	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $4,073.80	Professional		$1,023.29	$1,548.82	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $2,511.89	Facility		$707.95	$1,412.54	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,445.44	Professional		$870.96	$933.25	$1,445.44