Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $9,549.93	Facility		$1,698.24	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $3,090.30	Professional		$1,348.96	$1,621.81	$3,090.30
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 $1,412.54 / $1,905.46 / $2,884.03	Professional		$1,412.54	$1,905.46	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,137.96	Professional		$1,412.54	$1,584.89	$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 $1,348.96 / $1,819.70 / $2,951.21	Professional		$1,348.96	$1,819.70	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,630.27	Professional		$1,318.26	$1,621.81	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $3,388.44	Professional		$2,089.30	$2,238.72	$3,388.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,019.95	Facility		$1,479.11	$1,995.26	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,388.44	Professional		$2,511.89	$2,511.89	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,548.13	Facility		$1,445.44	$1,819.70	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,548.13	Professional		$1,445.44	$1,819.70	$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 $1,202.26 / $1,737.80 / $2,884.03	Professional		$1,202.26	$1,737.80	$2,884.03