Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $3,801.89	Facility		$1,148.15	$2,884.03	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,737.80	Professional		$1,000.00	$1,174.90	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,943.28 / $9,549.93	Facility		$6,025.60	$7,943.28	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $426.58	Professional		$239.88	$239.88	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,380.38	Professional		$1,174.90	$1,230.27	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,801.89 / $7,762.47	Facility		$1,548.82	$3,801.89	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,238.72	Professional		$1,862.09	$1,862.09	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,137.96	Professional		$1,513.56	$1,659.59	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,344.23	Facility		$1,148.15	$1,479.11	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $3,162.28	Professional		$977.24	$977.24	$3,162.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $3,090.30	Facility		$1,071.52	$1,737.80	$3,090.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $3,090.30	Professional		$1,071.52	$1,737.80	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $1,819.70	Facility		$912.01	$1,513.56	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,737.80	Professional		$630.96	$758.58	$1,737.80