Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,888.44 / $10,964.78	Facility		$1,513.56	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,818.38	Professional		$1,202.26	$1,445.44	$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 / $1,584.89 / $2,290.87	Professional		$1,202.26	$1,584.89	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $5,623.41	Professional		$1,380.38	$2,089.30	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,630.27	Professional		$1,122.02	$1,548.82	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $3,467.37	Professional		$1,096.48	$1,348.96	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,019.95	Professional		$1,445.44	$1,862.09	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,754.23	Facility		$1,258.93	$1,698.24	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $8,709.64	Facility		$1,122.02	$1,698.24	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $8,709.64	Professional		$1,122.02	$1,698.24	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,570.40	Professional		$977.24	$1,584.89	$2,570.40