Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $2,074.71 / $4,125.52	Facility		$1,808.65	$2,074.71	$4,125.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,899.08 / $1,899.08	Professional		$1,808.65	$1,899.08	$1,899.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.64 / $3,816.23 / $6,149.38	Facility		$1,808.64	$3,816.23	$6,149.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,478.86 / $2,820.77 / $4,256.80	Professional		$2,478.86	$2,820.77	$4,256.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.27 / $1,706.27 / $1,808.65	Facility		$1,706.27	$1,706.27	$1,808.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.35 / $2,108.21 / $2,170.38	Professional		$1,537.35	$2,108.21	$2,170.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.47 / $1,537.31 / $2,029.08	Facility		$762.47	$1,537.31	$2,029.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,196.00 / $1,196.00 / $1,196.00	Professional		$1,196.00	$1,196.00	$1,196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,688.68 / $1,808.65 / $2,315.07	Facility		$1,688.68	$1,808.65	$2,315.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,688.68 / $1,808.65 / $2,315.07	Professional		$1,688.68	$1,808.65	$2,315.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $2,108.21	Professional		$1,808.65	$1,808.65	$2,108.21