Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,011.87 / $8,317.64	Facility		$1,479.11	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,951.21	Professional		$1,258.93	$1,479.11	$2,951.21
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 $1,348.96 / $1,995.26 / $3,467.37	Professional		$1,348.96	$1,995.26	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $16,595.87	Professional		$1,380.38	$2,137.96	$16,595.87
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 $1,318.26 / $1,737.80 / $2,951.21	Professional		$1,318.26	$1,737.80	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,905.46	Professional		$1,258.93	$1,621.81	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,235.94	Professional		$1,862.09	$2,344.23	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,754.23	Facility		$1,318.26	$1,778.28	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $7,413.10	Facility		$1,288.25	$1,737.80	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $7,413.10	Professional		$1,288.25	$1,737.80	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,754.23	Professional		$1,047.13	$1,621.81	$2,754.23