Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $3,715.35	Facility		$1,202.26	$1,445.44	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,630.27	Professional		$1,202.26	$1,548.82	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,162.28	Facility		$3,019.95	$3,019.95	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,548.13	Professional		$1,737.80	$1,737.80	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,041.74	Professional		$1,584.89	$1,584.89	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $1,819.70	Facility		$1,348.96	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,819.70	Professional		$1,318.26	$1,318.26	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $4,168.69	Professional		$2,089.30	$3,019.95	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,951.21	Professional		$1,548.82	$1,949.84	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $3,801.89	Facility		$1,202.26	$2,041.74	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $3,715.35	Professional		$1,621.81	$1,778.28	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $6,165.95	Facility		$1,621.81	$2,454.71	$6,165.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $6,165.95	Professional		$1,621.81	$2,454.71	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $3,981.07	Facility		$977.24	$1,445.44	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $2,344.23	Professional		$1,348.96	$1,479.11	$2,344.23