Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $9,549.93	Facility		$1,288.25	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,238.72	Professional		$1,023.29	$1,202.26	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $19,054.61 / $26,302.68	Facility		$8,511.38	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,137.96	Professional		$1,071.52	$1,445.44	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,621.81	Professional		$1,071.52	$1,202.26	$1,621.81
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 $912.01 / $1,348.96 / $2,137.96	Professional		$912.01	$1,348.96	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,862.09	Professional		$912.01	$1,096.48	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,570.40	Professional		$1,513.56	$1,659.59	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,238.72	Facility		$1,071.52	$1,479.11	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,511.89	Professional		$1,659.59	$1,659.59	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,570.40	Facility		$1,096.48	$1,380.38	$2,570.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,570.40	Professional		$1,096.48	$1,380.38	$2,570.40
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 $870.96 / $1,288.25 / $2,137.96	Professional		$870.96	$1,288.25	$2,137.96