Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $4,786.30	Facility		$1,548.82	$1,862.09	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $3,388.44	Professional		$1,548.82	$1,862.09	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,073.80	Facility		$3,801.89	$3,801.89	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,265.80	Professional		$2,041.74	$2,041.74	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,630.27	Professional		$2,089.30	$2,089.30	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $2,344.23	Facility		$1,621.81	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,344.23	Professional		$1,698.24	$1,698.24	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $5,370.32	Professional		$2,691.53	$3,801.89	$5,370.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,801.89	Professional		$1,949.84	$2,511.89	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,570.88	Facility		$1,548.82	$2,511.89	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $4,786.30	Professional		$2,041.74	$2,344.23	$4,786.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $7,413.10	Facility		$2,041.74	$3,162.28	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $7,413.10	Professional		$2,041.74	$3,162.28	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $5,495.41	Facility		$1,174.90	$1,698.24	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $3,019.95	Professional		$1,698.24	$1,862.09	$3,019.95