Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $9,549.93	Facility		$1,288.25	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,238.72	Professional		$1,000.00	$1,202.26	$2,238.72
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 $1,047.13 / $1,412.54 / $2,187.76	Professional		$1,047.13	$1,412.54	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,659.59	Professional		$1,071.52	$1,202.26	$1,659.59
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 / $1,258.93 / $2,137.96	Professional		$831.76	$1,258.93	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,995.26	Professional		$1,000.00	$1,202.26	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $2,187.76	Professional		$1,230.27	$1,288.25	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,187.76	Facility		$1,047.13	$1,412.54	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,905.46	Professional		$1,096.48	$1,096.48	$1,905.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,630.27	Facility		$1,023.29	$1,288.25	$2,630.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,630.27	Professional		$1,023.29	$1,288.25	$2,630.27
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 $831.76 / $1,202.26 / $2,089.30	Professional		$831.76	$1,202.26	$2,089.30