Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $9,549.93	Facility		$2,089.30	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,630.78	Professional		$1,584.89	$1,949.84	$3,630.78
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 $1,698.24 / $2,290.87 / $3,548.13	Professional		$1,698.24	$2,290.87	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,630.27	Professional		$1,737.80	$1,949.84	$2,630.27
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 / $3,548.13	Professional		$1,412.54	$2,041.74	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,162.28	Professional		$1,584.89	$1,905.46	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $3,715.35	Professional		$2,089.30	$2,187.76	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,548.13	Facility		$1,737.80	$2,344.23	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,235.94	Professional		$1,819.70	$1,819.70	$3,235.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,168.69	Facility		$1,659.59	$2,089.30	$4,168.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,168.69	Professional		$1,659.59	$2,089.30	$4,168.69
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 $1,380.38 / $1,949.84 / $3,467.37	Professional		$1,380.38	$1,949.84	$3,467.37