Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $9,549.93	Facility		$1,698.24	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,019.95	Professional		$1,318.26	$1,584.89	$3,019.95
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 $1,380.38 / $1,905.46 / $2,884.03	Professional		$1,380.38	$1,905.46	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $2,187.76	Professional		$1,445.44	$1,584.89	$2,187.76
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 $1,148.15 / $1,698.24 / $2,884.03	Professional		$1,148.15	$1,698.24	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,630.27	Professional		$1,318.26	$1,621.81	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,691.53	Professional		$1,659.59	$1,819.70	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,884.03	Facility		$1,412.54	$1,905.46	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,630.27	Professional		$1,412.54	$1,412.54	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,548.13	Facility		$1,380.38	$1,698.24	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,548.13	Professional		$1,380.38	$1,698.24	$3,548.13
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 $1,122.02 / $1,621.81 / $2,818.38	Professional		$1,122.02	$1,621.81	$2,818.38