Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,344.23	Facility		$1,047.13	$1,412.54	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,398.83	Professional		$1,000.00	$1,380.38	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,511.89	Professional		$1,023.29	$1,479.11	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $4,466.84	Professional		$1,096.48	$1,479.11	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,754.23	Professional		$1,122.02	$1,698.24	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,041.74	Professional		$1,380.38	$1,737.80	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,090.30	Professional		$2,041.74	$2,570.40	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,754.23	Facility		$1,122.02	$1,698.24	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $9,549.93	Facility		$1,047.13	$1,548.82	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $9,549.93	Professional		$1,318.26	$1,905.46	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $2,630.27	Professional		$933.25	$1,548.82	$2,630.27