Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $9,549.93	Facility		$1,659.59	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,388.44	Professional		$1,412.54	$1,659.59	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $23,442.29 / $31,622.78	Facility		$13,803.84	$23,442.29	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,981.07	Professional		$1,621.81	$2,344.23	$3,981.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,630.27	Professional		$1,698.24	$1,905.46	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,388.44	Professional		$1,479.11	$1,905.46	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,290.87	Professional		$1,479.11	$1,905.46	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,715.35	Professional		$1,949.84	$2,454.71	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,162.28	Facility		$1,513.56	$2,041.74	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $5,248.07	Facility		$1,380.38	$1,949.84	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $5,248.07	Professional		$1,380.38	$1,949.84	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,079.46	Facility		$1,584.89	$3,388.44	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $3,090.30	Professional		$1,148.15	$1,778.28	$3,090.30