Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,491.75 / $3,893.47	Facility		$1,316.25	$1,491.75	$3,893.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $1,439.10 / $1,491.75	Professional		$1,316.25	$1,439.10	$1,491.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,665.49 / $8,546.85 / $10,793.25	Facility		$6,665.49	$8,546.85	$10,793.25
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 $1,404.00 / $1,404.00 / $2,737.80	Professional		$1,404.00	$1,404.00	$2,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.75 / $2,931.73 / $8,991.09	Facility		$1,140.75	$2,931.73	$8,991.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.67 / $2,137.67 / $2,561.17	Professional		$2,137.67	$2,137.67	$2,561.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,106.00 / $2,597.40	Professional		$1,755.00	$2,106.00	$2,597.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,755.00 / $2,983.50	Facility		$1,316.25	$1,755.00	$2,983.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $3,474.90 / $4,212.00	Professional		$1,140.75	$3,474.90	$4,212.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,228.50 / $1,995.44 / $3,258.33	Facility		$1,228.50	$1,995.44	$3,258.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $2,018.25 / $3,246.75	Professional		$1,228.50	$2,018.25	$3,246.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,053.00 / $1,755.00 / $2,106.00	Facility		$1,053.00	$1,755.00	$2,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $912.60 / $2,018.25	Professional		$737.10	$912.60	$2,018.25