Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.86 / $1,504.91 / $3,927.81	Facility		$1,327.86	$1,504.91	$3,927.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.86 / $1,451.80 / $1,504.91	Professional		$1,327.86	$1,451.80	$1,504.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,724.28 / $8,622.24 / $10,888.45	Facility		$6,724.28	$8,622.24	$10,888.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $56.34	Professional		$33.20	$33.20	$56.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,416.38 / $1,416.38 / $2,761.94	Professional		$1,416.38	$1,416.38	$2,761.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.81 / $2,957.58 / $9,069.95	Facility		$1,150.81	$2,957.58	$9,069.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,156.50 / $2,156.50 / $2,583.73	Professional		$2,156.50	$2,156.50	$2,583.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $2,124.58 / $2,620.31	Professional		$1,770.48	$2,124.58	$2,620.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,327.86 / $1,770.48 / $3,009.82	Facility		$1,327.86	$1,770.48	$3,009.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,150.81 / $1,150.81 / $1,150.81	Professional		$1,150.81	$1,150.81	$1,150.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,239.33 / $1,964.88 / $3,287.07	Facility		$1,239.33	$1,964.88	$3,287.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,239.33 / $2,036.05 / $3,275.39	Professional		$1,239.33	$2,036.05	$3,275.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $1,770.48 / $2,124.58	Facility		$1,062.29	$1,770.48	$2,124.58
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $920.65 / $2,036.05	Professional		$743.60	$920.65	$2,036.05