Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $9,549.93	Facility		$1,737.80	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,467.37	Professional		$1,445.44	$1,737.80	$3,467.37
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 $1,659.59 / $2,454.71 / $4,168.69	Professional		$1,659.59	$2,454.71	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,630.27	Professional		$1,698.24	$1,862.09	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,548.13	Professional		$1,548.82	$1,905.46	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,398.83	Professional		$1,584.89	$1,995.26	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,890.45	Professional		$2,041.74	$2,570.40	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,235.94	Facility		$1,548.82	$2,089.30	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $5,248.07	Facility		$1,412.54	$1,995.26	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $5,248.07	Professional		$1,412.54	$1,995.26	$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 $1,174.90 / $1,862.09 / $3,235.94	Professional		$1,174.90	$1,862.09	$3,235.94