Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,011.87 / $8,317.64	Facility		$1,288.25	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,818.38	Professional		$1,096.48	$1,288.25	$2,818.38
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 $1,202.26 / $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 $1,230.27 / $1,778.28 / $6,918.31	Professional		$1,230.27	$1,778.28	$6,918.31
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 / $1,380.38 / $1,621.81	Professional		$1,071.52	$1,380.38	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,754.23	Professional		$1,445.44	$1,819.70	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,398.83	Facility		$1,096.48	$1,513.56	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $7,413.10	Facility		$1,047.13	$1,479.11	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $7,413.10	Professional		$1,047.13	$1,479.11	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $13,803.84	Facility		$3,630.78	$7,079.46	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,398.83	Professional		$891.25	$1,348.96	$2,398.83