Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $6,165.95	Facility		$1,949.84	$2,398.83	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $4,365.16	Professional		$1,949.84	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,248.07	Facility		$4,897.79	$4,897.79	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,888.44	Professional		$2,818.38	$2,818.38	$5,888.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,388.44	Professional		$2,951.21	$2,951.21	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $2,754.23	Facility		$2,089.30	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Professional		$1,995.26	$1,995.26	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $6,918.31	Professional		$3,467.37	$4,897.79	$6,918.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,235.94	Professional		$2,511.89	$3,235.94	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $5,888.44	Facility		$1,949.84	$3,162.28	$5,888.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $6,165.95	Professional		$2,630.27	$2,951.21	$6,165.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $10,000.00	Facility		$2,630.27	$3,981.07	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $10,000.00	Professional		$2,630.27	$3,981.07	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $7,079.46	Facility		$1,479.11	$2,187.76	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $3,890.45	Professional		$2,187.76	$2,398.83	$3,890.45