Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $5,370.32	Facility		$1,000.00	$2,884.03	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,479.11	Professional		$776.25	$1,318.26	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $7,244.36	Facility		$4,677.35	$6,165.95	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $512.86	Professional		$288.40	$288.40	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,584.89	Professional		$1,348.96	$1,412.54	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $8,912.51	Facility		$1,778.28	$3,388.44	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Professional		$2,137.96	$2,137.96	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,454.71	Professional		$1,737.80	$1,905.46	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,398.83	Facility		$1,047.13	$1,584.89	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,630.78	Professional		$1,122.02	$1,122.02	$3,630.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,548.13	Facility		$912.01	$1,737.80	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,630.78	Professional		$912.01	$1,737.80	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,737.80 / $2,089.30	Facility		$707.95	$1,737.80	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,348.96	Professional		$489.78	$588.84	$1,348.96