Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $1,992.11 / $3,307.21	Facility		$1,002.07	$1,992.11	$3,307.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.07 / $1,095.58 / $1,135.68	Professional		$1,002.07	$1,095.58	$1,135.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,074.47 / $6,506.76 / $8,216.95	Facility		$5,074.47	$6,506.76	$8,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $718.06	Professional		$423.14	$423.14	$718.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,068.86 / $1,229.20 / $2,396.94	Professional		$1,068.86	$1,229.20	$2,396.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.46 / $2,944.86 / $6,843.97	Facility		$868.46	$2,944.86	$6,843.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.23 / $1,627.23 / $1,949.60	Professional		$1,627.23	$1,627.23	$1,949.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,603.31 / $1,977.41	Professional		$1,336.09	$1,603.31	$1,977.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,062.19 / $1,336.09 / $2,271.36	Facility		$1,062.19	$1,336.09	$2,271.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,830.00 / $2,645.46 / $3,206.62	Professional		$1,830.00	$2,645.46	$3,206.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.93 / $1,445.65 / $2,480.58	Facility		$933.93	$1,445.65	$2,480.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $935.26 / $1,482.79 / $2,480.58	Professional		$935.26	$1,482.79	$2,480.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,603.31 / $1,603.31 / $1,603.31	Facility		$1,603.31	$1,603.31	$1,603.31
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $668.05 / $1,536.50	Professional		$561.16	$668.05	$1,536.50