Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $9,549.93	Facility		$1,819.70	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,090.30	Professional		$1,348.96	$1,659.59	$3,090.30
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 $1,445.44 / $1,995.26 / $3,019.95	Professional		$1,445.44	$1,995.26	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,290.87	Professional		$1,513.56	$1,659.59	$2,290.87
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 / $1,737.80 / $3,019.95	Professional		$1,148.15	$1,737.80	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,754.23	Professional		$1,380.38	$1,698.24	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,691.53	Professional		$1,737.80	$1,819.70	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,951.21	Facility		$1,445.44	$1,949.84	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,630.27	Professional		$1,348.96	$1,348.96	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,715.35	Facility		$1,380.38	$1,778.28	$3,715.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,715.35	Professional		$1,380.38	$1,778.28	$3,715.35
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 $1,174.90 / $1,698.24 / $2,884.03	Professional		$1,174.90	$1,698.24	$2,884.03