Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,630.78 / $9,549.93	Facility		$1,479.11	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,570.40	Professional		$1,148.15	$1,380.38	$2,570.40
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 $1,202.26 / $1,621.81 / $2,511.89	Professional		$1,202.26	$1,621.81	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,905.46	Professional		$1,230.27	$1,380.38	$1,905.46
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 $1,000.00 / $1,479.11 / $2,511.89	Professional		$1,000.00	$1,479.11	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,290.87	Professional		$1,148.15	$1,380.38	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $2,511.89	Professional		$1,479.11	$1,548.82	$2,511.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,511.89	Facility		$1,230.27	$1,659.59	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,290.87	Professional		$1,288.25	$1,288.25	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,090.30	Facility		$1,202.26	$1,513.56	$3,090.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,090.30	Professional		$1,202.26	$1,513.56	$3,090.30
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 $977.24 / $1,412.54 / $2,454.71	Professional		$977.24	$1,412.54	$2,454.71