Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,454.71	Professional		$1,288.25	$1,513.56	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,090.30	Facility		$2,951.21	$2,951.21	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,548.13	Professional		$1,698.24	$1,698.24	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,995.26	Professional		$1,548.82	$1,548.82	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,737.80	Facility		$1,380.38	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,737.80	Professional		$1,258.93	$1,258.93	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $4,073.80	Professional		$2,041.74	$2,951.21	$4,073.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,884.03	Professional		$1,698.24	$1,905.46	$2,884.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $3,890.45	Facility		$1,258.93	$2,137.96	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $1,905.46	Professional		$1,584.89	$1,819.70	$1,905.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $6,025.60	Facility		$1,584.89	$2,398.83	$6,025.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $6,025.60	Professional		$1,584.89	$2,398.83	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $3,801.89	Facility		$1,047.13	$2,089.30	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $2,137.96	Professional		$1,348.96	$1,445.44	$2,137.96