Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,888.44 / $10,964.78	Facility		$1,174.90	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,187.76	Professional		$912.01	$1,047.13	$2,187.76
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 $1,000.00 / $1,445.44 / $2,454.71	Professional		$1,000.00	$1,445.44	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $12,022.64	Professional		$1,071.52	$1,659.59	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,137.96	Professional		$954.99	$1,258.93	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,318.26	Professional		$891.25	$1,122.02	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,290.87	Professional		$1,318.26	$1,659.59	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,137.96	Facility		$933.25	$1,348.96	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $9,549.93	Facility		$912.01	$1,288.25	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $9,549.93	Professional		$912.01	$1,288.25	$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 $758.58 / $1,174.90 / $2,041.74	Professional		$758.58	$1,174.90	$2,041.74