Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,754.23	Facility		$1,288.25	$1,659.59	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,311.31	Professional		$1,258.93	$1,659.59	$3,311.31
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 $1,288.25 / $1,862.09 / $3,162.28	Professional		$1,288.25	$1,862.09	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,511.89	Professional		$1,348.96	$1,659.59	$2,511.89
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 $1,380.38 / $2,089.30 / $3,311.31	Professional		$1,380.38	$2,089.30	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,344.23	Professional		$1,584.89	$1,995.26	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $3,630.78	Professional		$2,630.27	$3,311.31	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,311.31	Facility		$1,380.38	$2,089.30	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $9,549.93	Facility		$1,288.25	$1,949.84	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $9,549.93	Professional		$1,548.82	$2,290.87	$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 $1,148.15 / $1,905.46 / $3,162.28	Professional		$1,148.15	$1,905.46	$3,162.28