Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $9,549.93	Facility		$1,778.28	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $3,090.30	Professional		$1,445.44	$1,698.24	$3,090.30
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 $1,479.11 / $1,995.26 / $3,019.95	Professional		$1,479.11	$1,995.26	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $2,238.72	Professional		$1,479.11	$1,621.81	$2,238.72
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 $1,258.93 / $1,995.26 / $3,162.28	Professional		$1,258.93	$1,995.26	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,754.23	Professional		$1,380.38	$1,659.59	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,235.94	Professional		$2,570.40	$2,754.23	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,162.28	Facility		$1,513.56	$2,041.74	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,715.35	Facility		$1,548.82	$1,995.26	$3,715.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,715.35	Professional		$1,548.82	$1,995.26	$3,715.35
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 $1,288.25 / $1,995.26 / $3,162.28	Professional		$1,288.25	$1,995.26	$3,162.28