Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $1,778.28	Facility		$1,737.80	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,884.03	Professional		$1,479.11	$1,778.28	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,630.78	Facility		$3,388.44	$3,388.44	$3,630.78
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 $1,778.28 / $1,778.28 / $2,344.23	Professional		$1,778.28	$1,778.28	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $2,630.27	Facility		$1,737.80	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional		$1,905.46	$1,905.46	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $4,786.30	Professional		$2,344.23	$3,388.44	$4,786.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,311.31	Professional		$1,949.84	$2,238.72	$3,311.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $4,677.35	Facility		$1,445.44	$2,454.71	$4,677.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,630.27	Professional		$1,819.70	$2,187.76	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $7,079.46	Facility		$1,819.70	$2,754.23	$7,079.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $7,079.46	Professional		$1,819.70	$2,754.23	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $4,466.84	Facility		$1,258.93	$2,511.89	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $2,570.40	Professional		$1,548.82	$1,659.59	$2,570.40