Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,128.61 / $9,549.93	Facility		$1,047.13	$5,128.61	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,778.28	Professional		$776.25	$912.01	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,698.24	Professional		$870.96	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,890.45 / $5,623.41	Professional		$954.99	$3,890.45	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,862.09	Facility		$1,584.89	$1,584.89	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,862.09	Professional		$831.76	$1,071.52	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,174.90	Professional		$812.83	$977.24	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,348.96	Professional		$1,288.25	$1,288.25	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,584.89	Facility		$812.83	$1,047.13	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $8,709.64	Facility		$741.31	$1,202.26	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $8,709.64	Professional		$741.31	$1,202.26	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,737.80	Professional		$676.08	$977.24	$1,737.80