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 / $4,365.16	Facility		$1,318.26	$3,311.31	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,995.26	Professional		$1,174.90	$1,380.38	$1,995.26
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 $426.58 / $426.58 / $741.31	Professional		$426.58	$426.58	$741.31
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 $1,148.15 / $4,168.69 / $8,912.51	Facility		$1,148.15	$4,168.69	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Professional		$2,137.96	$2,137.96	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,454.71	Professional		$1,737.80	$1,949.84	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,754.23	Facility		$1,318.26	$1,698.24	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,388.44	Facility		$1,230.27	$1,995.26	$3,388.44
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 $741.31 / $870.96 / $1,995.26	Professional		$741.31	$870.96	$1,995.26