Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,630.78 / $9,549.93	Facility		$1,148.15	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,089.30	Professional		$891.25	$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 $933.25 / $1,258.93 / $1,905.46	Professional		$933.25	$1,258.93	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,445.44	Professional		$954.99	$1,071.52	$1,445.44
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 $776.25 / $1,148.15 / $1,905.46	Professional		$776.25	$1,148.15	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,698.24	Professional		$870.96	$1,047.13	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $2,041.74	Professional		$1,174.90	$1,230.27	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,995.26	Facility		$954.99	$1,288.25	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,819.70	Professional		$891.25	$891.25	$1,819.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,344.23	Facility		$933.25	$1,148.15	$2,344.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,344.23	Professional		$933.25	$1,148.15	$2,344.23
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 $758.58 / $1,096.48 / $1,905.46	Professional		$758.58	$1,096.48	$1,905.46