Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,073.80 / $6,918.31	Facility		$1,318.26	$4,073.80	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,659.59	Professional		$1,288.25	$1,479.11	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $7,079.46	Facility		$1,949.84	$1,949.84	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $575.44	Professional		$323.59	$323.59	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,778.28	Professional		$1,513.56	$1,584.89	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $9,332.54	Facility		$1,995.26	$4,365.16	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,818.38	Professional		$2,398.83	$2,398.83	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,754.23	Professional		$1,949.84	$2,137.96	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,019.95	Facility		$1,380.38	$1,778.28	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $4,073.80	Professional		$1,148.15	$1,148.15	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $3,981.07	Facility		$1,258.93	$2,238.72	$3,981.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $4,677.35	Professional		$1,230.27	$2,238.72	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,344.23	Facility		$1,174.90	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,238.72	Professional		$741.31	$977.24	$2,238.72