Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,888.44 / $10,964.78	Facility		$1,548.82	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,090.30	Professional		$1,288.25	$1,513.56	$3,090.30
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 $1,380.38 / $1,995.26 / $3,467.37	Professional		$1,380.38	$1,995.26	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $8,317.64	Professional		$1,479.11	$2,137.96	$8,317.64
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 $1,348.96 / $1,819.70 / $2,884.03	Professional		$1,348.96	$1,819.70	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,737.80	Professional		$1,174.90	$1,479.11	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,235.94	Professional		$1,949.84	$2,454.71	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,884.03	Facility		$1,288.25	$1,862.09	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $9,549.93	Facility		$1,288.25	$1,862.09	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $9,549.93	Professional		$1,288.25	$1,862.09	$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 $1,047.13 / $1,659.59 / $2,754.23	Professional		$1,047.13	$1,659.59	$2,754.23