Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $8,912.51	Facility		$1,318.26	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,290.87	Professional		$1,023.29	$1,230.27	$2,290.87
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 $1,096.48 / $1,479.11 / $2,238.72	Professional		$1,096.48	$1,479.11	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $5,128.61	Professional		$1,122.02	$1,288.25	$5,128.61
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 $954.99 / $1,348.96 / $2,238.72	Professional		$954.99	$1,348.96	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,995.26	Professional		$1,000.00	$1,230.27	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,630.27	Professional		$1,513.56	$1,621.81	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,238.72	Facility		$1,096.48	$1,479.11	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,398.83	Professional		$1,513.56	$1,513.56	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,754.23	Facility		$1,122.02	$1,380.38	$2,754.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,754.23	Professional		$1,122.02	$1,380.38	$2,754.23
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 $891.25 / $1,288.25 / $2,187.76	Professional		$891.25	$1,288.25	$2,187.76