Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $9,549.93	Facility		$1,621.81	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,884.03	Professional		$1,288.25	$1,548.82	$2,884.03
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 $1,348.96 / $1,778.28 / $2,754.23	Professional		$1,348.96	$1,778.28	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,041.74	Professional		$1,348.96	$1,513.56	$2,041.74
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 / $1,659.59 / $2,754.23	Professional		$1,202.26	$1,659.59	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,511.89	Professional		$1,258.93	$1,548.82	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $3,235.94	Professional		$1,778.28	$1,862.09	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,884.03	Facility		$1,348.96	$1,862.09	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,818.38	Professional		$1,513.56	$1,513.56	$2,818.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $3,311.31	Facility		$1,348.96	$1,698.24	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $3,311.31	Professional		$1,348.96	$1,698.24	$3,311.31
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 / $1,621.81 / $2,754.23	Professional		$1,122.02	$1,621.81	$2,754.23