Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $10,964.78	Facility		$1,698.24	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $3,162.28	Professional		$1,348.96	$1,584.89	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,715.35	Professional		$1,479.11	$2,187.76	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,691.53	Professional		$1,584.89	$1,905.46	$2,691.53
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 $1,445.44 / $1,905.46 / $3,162.28	Professional		$1,445.44	$1,905.46	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,467.37	Professional		$1,995.26	$2,511.89	$3,467.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,090.30	Facility		$1,412.54	$1,949.84	$3,090.30
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 $1,380.38 / $1,905.46 / $9,549.93	Facility		$1,380.38	$1,905.46	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $9,549.93	Professional		$1,380.38	$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 $1,122.02 / $1,737.80 / $3,090.30	Professional		$1,122.02	$1,737.80	$3,090.30