Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.15 / $1,615.17 / $4,215.59	Facility		$1,425.15	$1,615.17	$4,215.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.15 / $1,558.17 / $1,615.17	Professional		$1,425.15	$1,558.17	$1,615.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,216.96 / $9,253.96 / $11,686.23	Facility		$7,216.96	$9,253.96	$11,686.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $834.70	Professional		$500.00	$500.00	$834.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,520.16 / $1,520.16 / $2,964.31	Professional		$1,520.16	$1,520.16	$2,964.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.13 / $3,174.28 / $9,734.21	Facility		$1,235.13	$3,174.28	$9,734.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,314.54 / $2,314.54 / $2,773.08	Professional		$2,314.54	$2,314.54	$2,773.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $2,280.23 / $2,812.30	Professional		$1,900.20	$2,280.23	$2,812.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,425.15 / $1,900.20 / $3,230.34	Facility		$1,425.15	$1,900.20	$3,230.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,235.13 / $1,235.13 / $1,235.13	Professional		$1,235.13	$1,235.13	$1,235.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,330.14 / $2,160.53 / $3,527.91	Facility		$1,330.14	$2,160.53	$3,527.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,330.14 / $2,185.23 / $3,515.37	Professional		$1,330.14	$2,185.23	$3,515.37
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $988.10 / $2,185.23	Professional		$798.08	$988.10	$2,185.23