Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $9,549.93	Facility		$1,659.59	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,019.95	Professional		$1,318.26	$1,621.81	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,471.29 / $14,454.40	Facility		$6,606.93	$10,471.29	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,884.03	Professional		$1,380.38	$1,862.09	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $2,137.96	Professional		$1,412.54	$1,548.82	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,884.03	Professional		$1,148.15	$1,698.24	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,630.27	Professional		$1,318.26	$1,584.89	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $3,019.95	Professional		$1,380.38	$1,479.11	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,951.21	Facility		$1,380.38	$1,905.46	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,238.72	Professional		$1,548.82	$1,548.82	$2,238.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,548.13	Facility		$1,202.26	$1,737.80	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,548.13	Professional		$1,202.26	$1,737.80	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,818.38	Professional		$1,096.48	$1,548.82	$2,818.38