Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $97,723.72	Facility		$2,511.89	$5,011.87	$97,723.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $4,365.16	Professional		$1,905.46	$2,344.23	$4,365.16
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 $1,995.26 / $2,754.23 / $4,265.80	Professional		$1,995.26	$2,754.23	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $3,162.28	Professional		$2,089.30	$2,344.23	$3,162.28
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 $1,479.11 / $2,454.71 / $4,265.80	Professional		$1,479.11	$2,454.71	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,801.89	Professional		$1,905.46	$2,344.23	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $3,548.13	Professional		$2,238.72	$2,398.83	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,265.80	Facility		$1,995.26	$2,754.23	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,548.13	Professional		$1,737.80	$1,737.80	$3,548.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,011.87	Facility		$1,905.46	$2,454.71	$5,011.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,011.87	Professional		$1,905.46	$2,454.71	$5,011.87
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 $1,621.81 / $2,344.23 / $4,168.69	Professional		$1,621.81	$2,344.23	$4,168.69