Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $9,549.93	Facility		$1,174.90	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,089.30	Professional		$912.01	$1,096.48	$2,089.30
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 $954.99 / $1,318.26 / $1,995.26	Professional		$954.99	$1,318.26	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,513.56	Professional		$1,000.00	$1,096.48	$1,513.56
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 $794.33 / $1,174.90 / $1,995.26	Professional		$794.33	$1,174.90	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,819.70	Professional		$912.01	$1,096.48	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,862.09	Professional		$1,202.26	$1,230.27	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,995.26	Facility		$977.24	$1,318.26	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,819.70	Professional		$954.99	$954.99	$1,819.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,454.71	Facility		$954.99	$1,202.26	$2,454.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,454.71	Professional		$954.99	$1,202.26	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $7,079.46	Facility		$407.38	$3,019.95	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,949.84	Professional		$794.33	$1,122.02	$1,949.84