Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,715.35 / $4,786.30	Facility		$1,445.44	$3,715.35	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,905.46	Professional		$1,288.25	$1,513.56	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,022.64	Facility		$7,762.47	$10,232.93	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,949.84	Professional		$1,148.15	$1,148.15	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,737.80	Professional		$1,513.56	$1,584.89	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,786.30 / $10,000.00	Facility		$1,995.26	$4,786.30	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,818.38	Professional		$2,344.23	$2,344.23	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,691.53	Professional		$1,949.84	$2,137.96	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,019.95	Facility		$1,445.44	$1,905.46	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,073.80	Professional		$1,258.93	$1,258.93	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $3,981.07	Facility		$1,348.96	$2,187.76	$3,981.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $3,981.07	Professional		$1,348.96	$2,238.72	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,344.23	Facility		$1,174.90	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $2,238.72	Professional		$812.83	$977.24	$2,238.72