Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,916.83 / $5,800.07	Facility		$2,608.16	$2,916.83	$5,800.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,078.11	Professional		$2,608.16	$2,608.16	$3,078.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $5,398.89 / $8,528.68	Facility		$2,608.16	$5,398.89	$8,528.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,495.97	Professional		$2,608.16	$2,608.16	$3,495.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,543.89 / $2,608.16	Professional		$2,543.89	$2,543.89	$2,608.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $2,460.53 / $2,608.16	Facility		$2,460.53	$2,460.53	$2,608.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Professional		$2,608.16	$2,608.16	$2,608.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,216.94 / $2,608.16 / $3,541.54	Professional		$2,216.94	$2,608.16	$3,541.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,889.64 / $2,634.24 / $4,346.50	Facility		$1,889.64	$2,634.24	$4,346.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,693.20 / $2,958.00 / $4,060.21	Professional		$1,693.20	$2,958.00	$4,060.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $3,129.79 / $3,912.24	Facility		$2,608.16	$3,129.79	$3,912.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $3,129.79 / $3,912.24	Professional		$2,608.16	$3,129.79	$3,912.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.43 / $4,411.16 / $4,411.16	Facility		$2,673.43	$4,411.16	$4,411.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $3,010.31	Professional		$2,608.16	$2,764.65	$3,010.31