Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $9,549.93	Facility		$1,445.44	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,630.27	Professional		$1,071.52	$1,348.96	$2,630.27
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 $1,174.90 / $1,584.89 / $2,454.71	Professional		$1,174.90	$1,584.89	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,862.09	Professional		$1,230.27	$1,380.38	$1,862.09
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 $831.76 / $1,380.38 / $2,398.83	Professional		$831.76	$1,380.38	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,344.23	Professional		$1,174.90	$1,412.54	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,187.76	Professional		$1,258.93	$1,380.38	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,398.83	Facility		$1,122.02	$1,548.82	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,041.74	Professional		$1,047.13	$1,047.13	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,951.21	Facility		$1,071.52	$1,412.54	$2,951.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,951.21	Professional		$1,071.52	$1,412.54	$2,951.21
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 $933.25 / $1,318.26 / $2,238.72	Professional		$933.25	$1,318.26	$2,238.72