Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,888.44 / $10,964.78	Facility		$1,071.52	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,089.30	Professional		$891.25	$1,047.13	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,570.40	Professional		$1,023.29	$1,479.11	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $12,022.64	Professional		$1,023.29	$1,621.81	$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 $933.25 / $1,202.26 / $1,412.54	Professional		$933.25	$1,202.26	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,344.23	Professional		$1,288.25	$1,584.89	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Facility		$954.99	$1,258.93	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $9,549.93	Facility		$912.01	$1,230.27	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $9,549.93	Professional		$912.01	$1,230.27	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $23,988.33	Facility		$6,456.54	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,949.84	Professional		$758.58	$1,174.90	$1,949.84