Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $9,549.93	Facility		$2,041.74	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,548.13	Professional		$1,584.89	$1,949.84	$3,548.13
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 $1,659.59 / $2,238.72 / $3,388.44	Professional		$1,659.59	$2,238.72	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,570.40	Professional		$1,698.24	$1,862.09	$2,570.40
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 $1,412.54 / $2,041.74 / $3,388.44	Professional		$1,412.54	$2,041.74	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $3,090.30	Professional		$1,548.82	$1,862.09	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $4,073.80	Professional		$2,238.72	$2,398.83	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,467.37	Facility		$1,698.24	$2,290.87	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,548.13	Professional		$2,041.74	$2,041.74	$3,548.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,073.80	Facility		$1,659.59	$2,089.30	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,073.80	Professional		$1,659.59	$2,089.30	$4,073.80
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 $1,348.96 / $1,995.26 / $3,388.44	Professional		$1,348.96	$1,995.26	$3,388.44