Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,715.35 / $4,365.16	Facility		$1,318.26	$3,715.35	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,659.59	Professional		$1,174.90	$1,412.54	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,120.11 / $10,964.78	Facility		$7,079.46	$9,120.11	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $588.84	Professional		$338.84	$338.84	$588.84
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 / $3,388.44 / $9,332.54	Facility		$1,995.26	$3,388.44	$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 $1,318.26 / $1,698.24 / $2,884.03	Facility		$1,318.26	$1,698.24	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,715.35	Professional		$1,148.15	$1,148.15	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,630.78	Facility		$1,230.27	$1,995.26	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,630.78	Professional		$1,230.27	$1,995.26	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,344.23	Facility		$1,047.13	$1,737.80	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,995.26	Professional		$741.31	$870.96	$1,995.26