Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,168.69 / $5,495.41	Facility		$1,659.59	$4,168.69	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,089.30	Professional		$1,445.44	$1,698.24	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,481.54 / $13,803.84	Facility		$8,709.64	$11,481.54	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $912.01	Professional		$512.86	$512.86	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,995.26	Professional		$1,698.24	$1,778.28	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,495.41 / $11,220.18	Facility		$2,238.72	$5,495.41	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,235.94	Professional		$2,691.53	$2,691.53	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $3,090.30	Professional		$2,187.76	$2,398.83	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,388.44	Facility		$1,659.59	$2,137.96	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,570.88	Professional		$1,445.44	$1,445.44	$4,570.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,466.84	Facility		$1,548.82	$2,511.89	$4,466.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,466.84	Professional		$1,548.82	$2,511.89	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $2,630.27	Facility		$1,318.26	$2,187.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,511.89	Professional		$933.25	$1,096.48	$2,511.89