Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,370.32 / $9,772.37	Facility		$1,479.11	$5,370.32	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,235.94	Professional		$1,174.90	$1,445.44	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,388.44	Professional		$1,348.96	$1,995.26	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $4,466.84	Professional		$1,348.96	$1,949.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,951.21	Professional		$1,202.26	$1,659.59	$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 $1,698.24 / $2,137.96 / $3,162.28	Professional		$1,698.24	$2,137.96	$3,162.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,691.53	Facility		$1,288.25	$1,737.80	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $7,413.10	Facility		$1,230.27	$1,659.59	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $7,413.10	Professional		$1,230.27	$1,659.59	$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 $1,000.00 / $1,548.82 / $2,691.53	Professional		$1,000.00	$1,548.82	$2,691.53