Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $4,265.80	Facility		$1,318.26	$3,311.31	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,621.81	Professional		$1,148.15	$1,348.96	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,120.11 / $10,964.78	Facility		$6,918.31	$9,120.11	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,479.11	Professional		$851.14	$851.14	$1,479.11
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 / $4,265.80 / $8,912.51	Facility		$1,778.28	$4,265.80	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Professional		$2,137.96	$2,137.96	$2,511.89
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 $1,318.26 / $1,698.24 / $2,691.53	Facility		$1,318.26	$1,698.24	$2,691.53
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 $1,230.27 / $1,995.26 / $3,548.13	Facility		$1,230.27	$1,995.26	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,548.13	Professional		$1,230.27	$1,995.26	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,089.30	Facility		$1,047.13	$1,737.80	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,995.26	Professional		$724.44	$870.96	$1,995.26