Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,981.07 / $9,549.93	Facility		$2,691.53	$3,981.07	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $4,677.35	Professional		$2,041.74	$2,511.89	$4,677.35
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 $2,137.96 / $2,951.21 / $4,570.88	Professional		$2,137.96	$2,951.21	$4,570.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,388.44	Professional		$2,238.72	$2,511.89	$3,388.44
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 $1,318.26 / $2,691.53 / $4,570.88	Professional		$1,318.26	$2,691.53	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,981.07	Professional		$1,995.26	$2,454.71	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,548.13	Professional		$2,754.23	$2,884.03	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,466.84	Facility		$2,187.76	$2,951.21	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,265.80	Professional		$1,318.26	$1,318.26	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,248.07	Facility		$2,089.30	$2,691.53	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,248.07	Professional		$2,089.30	$2,691.53	$5,248.07
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 $1,778.28 / $2,570.40 / $4,365.16	Professional		$1,778.28	$2,570.40	$4,365.16