Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.42 / $1,583.74 / $4,133.56	Facility		$1,397.42	$1,583.74	$4,133.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.42 / $1,527.84 / $1,583.74	Professional		$1,397.42	$1,527.84	$1,583.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,076.51 / $9,073.87 / $11,458.80	Facility		$7,076.51	$9,073.87	$11,458.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $352.97	Professional		$208.00	$208.00	$352.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,490.58 / $1,490.58 / $2,906.63	Professional		$1,490.58	$1,490.58	$2,906.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.08 / $3,112.50 / $9,544.64	Facility		$1,211.08	$3,112.50	$9,544.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,269.44 / $2,269.44 / $2,719.06	Professional		$2,269.44	$2,269.44	$2,719.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $2,235.86 / $2,757.57	Professional		$1,863.22	$2,235.86	$2,757.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,397.42 / $1,863.22 / $3,167.48	Facility		$1,397.42	$1,863.22	$3,167.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,211.08 / $1,211.08 / $1,211.08	Professional		$1,211.08	$1,211.08	$1,211.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,304.25 / $2,118.48 / $3,459.25	Facility		$1,304.25	$2,118.48	$3,459.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,304.25 / $2,142.69 / $3,446.96	Professional		$1,304.25	$2,142.69	$3,446.96
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $931.61 / $2,142.69	Professional		$782.55	$931.61	$2,142.69