Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $1,135.68 / $3,307.21	Facility		$1,002.07	$1,135.68	$3,307.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.07 / $1,095.58 / $1,135.68	Professional		$1,002.07	$1,095.58	$1,135.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,074.47 / $6,506.76 / $8,216.95	Facility		$5,074.47	$6,506.76	$8,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $699.20 / $1,065.79	Professional		$699.20	$699.20	$1,065.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,068.86 / $1,068.86 / $2,084.30	Professional		$1,068.86	$1,068.86	$2,084.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.46 / $2,944.86 / $6,843.97	Facility		$868.46	$2,944.86	$6,843.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.23 / $1,627.23 / $1,949.60	Professional		$1,627.23	$1,627.23	$1,949.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,603.31 / $1,977.41	Professional		$1,336.09	$1,603.31	$1,977.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $1,336.09 / $2,271.36	Facility		$1,002.07	$1,336.09	$2,271.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $868.46 / $868.46 / $868.46	Professional		$868.46	$868.46	$868.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $998.06 / $1,536.50 / $2,480.58	Facility		$998.06	$1,536.50	$2,480.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $998.06 / $1,536.50 / $2,480.58	Professional		$998.06	$1,536.50	$2,480.58
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $694.77 / $1,536.50	Professional		$561.16	$694.77	$1,536.50