Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.15 / $4,325.54 / $5,641.17	Facility		$1,937.15	$4,325.54	$5,641.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,709.25 / $1,937.15 / $1,937.15	Professional		$1,709.25	$1,937.15	$1,937.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,655.64 / $11,098.73 / $14,015.85	Facility		$8,655.64	$11,098.73	$14,015.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,335.52	Professional		$800.00	$800.00	$1,335.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,823.20 / $2,051.10 / $3,999.64	Professional		$1,823.20	$2,051.10	$3,999.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,481.35 / $4,241.52 / $11,675.00	Facility		$1,481.35	$4,241.52	$11,675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,775.96 / $2,775.96 / $3,325.92	Professional		$2,775.96	$2,775.96	$3,325.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,279.00 / $2,734.80 / $3,372.92	Professional		$2,279.00	$2,734.80	$3,372.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,811.81 / $2,279.00 / $3,874.30	Facility		$1,811.81	$2,279.00	$3,874.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,384.20 / $3,988.25 / $5,469.60	Professional		$3,384.20	$3,988.25	$5,469.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,595.30 / $2,529.23 / $4,231.18	Facility		$1,595.30	$2,529.23	$4,231.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,595.30 / $2,591.21 / $4,231.18	Professional		$1,595.30	$2,591.21	$4,231.18
United Facility/Professional Professional Modifier Low / Median / High Price $957.18 / $1,139.50 / $2,620.85	Professional		$957.18	$1,139.50	$2,620.85