Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $9,549.93	Facility		$1,513.56	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,691.53	Professional		$1,202.26	$1,445.44	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $12,302.69	Facility		$9,772.37	$11,220.18	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,570.40	Professional		$1,288.25	$1,698.24	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,949.84	Professional		$1,258.93	$1,412.54	$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 $1,122.02 / $1,698.24 / $2,691.53	Professional		$1,122.02	$1,698.24	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,344.23	Professional		$1,202.26	$1,445.44	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,691.53	Professional		$2,137.96	$2,290.87	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,691.53	Facility		$1,288.25	$1,737.80	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,162.28	Facility		$1,318.26	$1,698.24	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,162.28	Professional		$1,318.26	$1,698.24	$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 $1,122.02 / $1,698.24 / $2,691.53	Professional		$1,122.02	$1,698.24	$2,691.53