Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,570.88 / $6,025.60	Facility		$1,819.70	$4,570.88	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,818.38	Professional		$1,621.81	$1,905.46	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,589.25 / $15,135.61	Facility		$9,772.37	$12,589.25	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,621.81	Professional		$977.24	$977.24	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,187.76	Professional		$1,862.09	$1,995.26	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,888.44 / $12,589.25	Facility		$1,584.89	$5,888.44	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,548.13	Professional		$2,951.21	$2,951.21	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $3,388.44	Professional		$2,454.71	$2,691.53	$3,388.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,801.89	Facility		$1,819.70	$2,344.23	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $4,677.35	Facility		$1,698.24	$2,754.23	$4,677.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $5,011.87	Professional		$1,698.24	$2,818.38	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,454.71	Facility		$1,023.29	$1,445.44	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,818.38	Professional		$1,023.29	$1,230.27	$2,818.38