Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $9,549.93	Facility		$1,288.25	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,344.23	Professional		$1,096.48	$1,288.25	$2,344.23
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 $1,202.26 / $1,778.28 / $3,019.95	Professional		$1,202.26	$1,778.28	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $14,454.40	Professional		$1,412.54	$1,905.46	$14,454.40
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 $1,174.90 / $1,479.11 / $2,570.40	Professional		$1,174.90	$1,479.11	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,621.81	Professional		$1,071.52	$1,348.96	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,818.38	Professional		$1,479.11	$1,862.09	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,511.89	Facility		$1,148.15	$1,584.89	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $9,549.93	Facility		$1,096.48	$1,548.82	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $9,549.93	Professional		$1,096.48	$1,548.82	$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 $912.01 / $1,412.54 / $2,454.71	Professional		$912.01	$1,412.54	$2,454.71