Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.66 / $4,764.38 / $8,986.54	Facility		$1,882.66	$4,764.38	$8,986.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.66 / $2,058.37 / $2,370.75	Professional		$1,882.66	$2,058.37	$2,370.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $12,337.68	Facility		$2,510.21	$2,510.21	$12,337.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.60 / $1,239.60 / $1,981.02	Professional		$1,239.60	$1,239.60	$1,981.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,761.23 / $5,384.40	Professional		$2,510.21	$2,761.23	$5,384.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $4,690.51 / $12,859.28	Facility		$1,631.64	$4,690.51	$12,859.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.63 / $1,523.79 / $4,143.49	Professional		$1,242.63	$1,523.79	$4,143.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $3,012.25 / $3,715.11	Professional		$2,510.21	$3,012.25	$3,715.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.75 / $3,099.02 / $5,012.05	Facility		$2,089.75	$3,099.02	$5,012.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,510.00 / $4,339.00 / $6,024.50	Professional		$2,510.00	$4,339.00	$6,024.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,094.48 / $3,017.27 / $9,929.00	Facility		$2,094.48	$3,017.27	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $3,038.36 / $9,929.00	Professional		$2,259.19	$3,038.36	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,417.12	Professional		$1,054.29	$1,506.13	$3,417.12