Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,511.89 / $3,311.31	Facility		$1,000.00	$2,511.89	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,548.82	Professional		$870.96	$1,047.13	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $8,317.64	Facility		$5,370.32	$6,918.31	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $741.31	Professional		$426.58	$426.58	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,202.26	Professional		$1,023.29	$1,096.48	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $6,918.31	Facility		$1,348.96	$3,311.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,949.84	Professional		$1,621.81	$1,621.81	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,862.09	Professional		$1,348.96	$1,479.11	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,089.30	Facility		$1,000.00	$1,288.25	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,818.38	Professional		$870.96	$870.96	$2,818.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,754.23	Facility		$933.25	$1,513.56	$2,754.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,754.23	Professional		$933.25	$1,513.56	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $1,621.81	Facility		$794.33	$1,348.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,548.82	Professional		$562.34	$660.69	$1,548.82