Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $9,549.93	Facility		$1,548.82	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,754.23	Professional		$1,230.27	$1,479.11	$2,754.23
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 $1,288.25 / $1,698.24 / $2,630.27	Professional		$1,288.25	$1,698.24	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,949.84	Professional		$1,288.25	$1,445.44	$1,949.84
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 $1,202.26 / $1,584.89 / $2,630.27	Professional		$1,202.26	$1,584.89	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,398.83	Professional		$1,230.27	$1,479.11	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $3,090.30	Professional		$1,698.24	$1,819.70	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,691.53	Facility		$1,318.26	$1,778.28	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,691.53	Professional		$1,621.81	$1,621.81	$2,691.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,162.28	Facility		$1,318.26	$1,621.81	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,162.28	Professional		$1,318.26	$1,621.81	$3,162.28
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 $1,071.52 / $1,513.56 / $2,630.27	Professional		$1,071.52	$1,513.56	$2,630.27