Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,630.78 / $9,549.93	Facility		$1,412.54	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,454.71	Professional		$1,071.52	$1,318.26	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,398.83	Professional		$1,148.15	$1,548.82	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,819.70	Professional		$1,174.90	$1,318.26	$1,819.70
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 $954.99 / $1,380.38 / $2,344.23	Professional		$954.99	$1,380.38	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,137.96	Professional		$1,071.52	$1,318.26	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $2,454.71	Professional		$1,412.54	$1,479.11	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,398.83	Facility		$1,148.15	$1,548.82	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,187.76	Professional		$1,258.93	$1,258.93	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,884.03	Facility		$1,122.02	$1,412.54	$2,884.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,884.03	Professional		$1,122.02	$1,412.54	$2,884.03
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 $933.25 / $1,318.26 / $2,290.87	Professional		$933.25	$1,318.26	$2,290.87