Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.42 / $3,650.80 / $6,060.90	Facility		$1,836.42	$3,650.80	$6,060.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.42 / $2,007.82 / $2,081.28	Professional		$1,836.42	$2,007.82	$2,081.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $12,034.67	Facility		$2,448.56	$2,448.56	$12,034.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $979.42 / $1,591.56	Professional		$979.42	$979.42	$1,591.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $1,958.85 / $3,819.76	Professional		$1,958.85	$1,958.85	$3,819.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,591.56 / $4,557.50 / $12,543.92	Facility		$1,591.56	$4,557.50	$12,543.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.00 / $1,513.10 / $4,019.74	Professional		$1,192.00	$1,513.10	$4,019.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,938.27 / $3,623.87	Professional		$2,448.56	$2,938.27	$3,623.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,946.61 / $2,448.56 / $3,808.74	Facility		$1,946.61	$2,448.56	$3,808.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,409.00 / $3,355.00 / $5,876.54	Professional		$2,409.00	$3,355.00	$5,876.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,030.71 / $2,668.93 / $9,929.00	Facility		$2,030.71	$2,668.93	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,030.71 / $2,668.93 / $9,929.00	Professional		$2,030.71	$2,668.93	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,273.25 / $2,639.55	Professional		$1,028.40	$1,273.25	$2,639.55