Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $8,317.64	Facility		$1,584.89	$5,128.61	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,235.94	Professional		$1,258.93	$1,584.89	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,801.89	Professional		$1,513.56	$2,238.72	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $12,022.64	Professional		$1,445.44	$1,905.46	$12,022.64
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 $1,348.96 / $1,737.80 / $3,235.94	Professional		$1,348.96	$1,737.80	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,187.76	Professional		$1,412.54	$1,819.70	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,548.13	Professional		$1,862.09	$2,290.87	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,884.03	Facility		$1,318.26	$1,862.09	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $9,549.93	Facility		$1,288.25	$1,778.28	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $9,549.93	Professional		$1,288.25	$1,778.28	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $19,054.61	Facility		$5,495.41	$9,332.54	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,951.21	Professional		$1,071.52	$1,698.24	$2,951.21