Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $9,549.93	Facility		$1,445.44	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,754.23	Professional		$1,148.15	$1,445.44	$2,754.23
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 $1,380.38 / $1,995.26 / $3,467.37	Professional		$1,380.38	$1,995.26	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $2,137.96	Professional		$1,380.38	$1,513.56	$2,137.96
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 $1,258.93 / $1,621.81 / $2,951.21	Professional		$1,258.93	$1,621.81	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $1,995.26	Professional		$1,288.25	$1,659.59	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,235.94	Professional		$1,819.70	$2,344.23	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,691.53	Facility		$1,288.25	$1,778.28	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $12,302.69	Facility		$1,202.26	$1,659.59	$12,302.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $12,302.69	Professional		$1,202.26	$1,659.59	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $35,481.34	Facility		$9,549.93	$17,782.79	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,691.53	Professional		$977.24	$1,548.82	$2,691.53