Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $8,317.64	Facility		$1,174.90	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,454.71	Professional		$1,023.29	$1,202.26	$2,454.71
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 $1,122.02 / $1,659.59 / $2,818.38	Professional		$1,122.02	$1,659.59	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,365.16	Professional		$1,096.48	$1,548.82	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,398.83	Professional		$1,047.13	$1,380.38	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,479.11	Professional		$1,000.00	$1,258.93	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,630.27	Professional		$1,318.26	$1,621.81	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,187.76	Facility		$1,047.13	$1,445.44	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $9,549.93	Facility		$1,047.13	$1,445.44	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $9,549.93	Professional		$1,047.13	$1,445.44	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $23,988.33	Facility		$6,456.54	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,238.72	Professional		$831.76	$1,288.25	$2,238.72