Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $8,912.51	Facility		$1,258.93	$3,630.78	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,238.72	Professional		$812.83	$1,258.93	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,019.95	Professional		$1,174.90	$1,737.80	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,862.09	Professional		$776.25	$1,258.93	$1,862.09
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 $954.99 / $1,258.93 / $2,570.40	Professional		$954.99	$1,258.93	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,737.80	Professional		$1,122.02	$1,445.44	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,754.23	Professional		$1,258.93	$1,548.82	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,187.76	Facility		$1,023.29	$1,445.44	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $3,630.78	Facility		$954.99	$1,318.26	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $3,630.78	Professional		$954.99	$1,318.26	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $5,754.40	Facility		$1,737.80	$3,388.44	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,290.87	Professional		$794.33	$1,202.26	$2,290.87