Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,630.78 / $9,549.93	Facility		$1,318.26	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,398.83	Professional		$1,023.29	$1,230.27	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $12,302.69	Facility		$5,888.44	$8,709.64	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,290.87	Professional		$1,096.48	$1,513.56	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,737.80	Professional		$1,148.15	$1,288.25	$1,737.80
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 $851.14 / $1,288.25 / $2,238.72	Professional		$851.14	$1,288.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,137.96	Professional		$1,071.52	$1,288.25	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,995.26	Professional		$1,258.93	$1,318.26	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,238.72	Facility		$1,096.48	$1,445.44	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,949.84	Professional		$1,023.29	$1,023.29	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,691.53	Facility		$1,047.13	$1,318.26	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,691.53	Professional		$1,047.13	$1,318.26	$2,691.53
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 $870.96 / $1,230.27 / $2,187.76	Professional		$870.96	$1,230.27	$2,187.76