Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,612.45 / $3,600.51 / $4,695.62	Facility		$1,612.45	$3,600.51	$4,695.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,422.75 / $1,612.45 / $1,612.45	Professional		$1,422.75	$1,612.45	$1,612.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,204.81 / $9,238.39 / $11,666.55	Facility		$7,204.81	$9,238.39	$11,666.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $2,227.12	Professional		$1,549.20	$1,549.20	$2,227.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,517.60 / $1,517.60 / $2,959.32	Professional		$1,517.60	$1,517.60	$2,959.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,233.05 / $3,530.72 / $9,717.43	Facility		$1,233.05	$3,530.72	$9,717.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,311.04 / $2,311.04 / $2,768.89	Professional		$2,311.04	$2,311.04	$2,768.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $2,276.40 / $2,807.56	Professional		$1,897.00	$2,276.40	$2,807.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,508.12 / $1,897.00 / $2,950.78	Facility		$1,508.12	$1,897.00	$2,950.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,599.00 / $3,756.06 / $4,552.80	Professional		$2,599.00	$3,756.06	$4,552.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,417.06 / $2,181.55 / $3,521.97	Facility		$1,417.06	$2,181.55	$3,521.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,352.56 / $2,205.83 / $3,585.33	Professional		$1,352.56	$2,205.83	$3,585.33
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $1,138.20 / $2,582.37	Professional		$796.74	$1,138.20	$2,582.37