Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.00 / $1,746.00 / $1,764.59	Facility		$1,746.00	$1,746.00	$1,764.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.36 / $1,746.00 / $1,995.42	Professional		$1,623.36	$1,746.00	$1,995.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,310.57 / $3,310.57 / $3,515.83	Facility		$3,310.57	$3,310.57	$3,515.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,988.34 / $1,988.34 / $2,588.12	Professional		$1,988.34	$1,988.34	$2,588.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $1,855.26 / $2,263.09	Professional		$1,775.00	$1,855.26	$2,263.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $2,482.86	Facility		$2,482.86	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $2,482.86	Professional		$1,812.49	$1,812.49	$2,482.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.40 / $2,979.51 / $3,972.68	Professional		$2,317.40	$2,979.51	$3,972.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $2,045.80 / $3,768.51	Facility		$1,066.25	$2,045.80	$3,768.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,861.00 / $4,348.45 / $5,514.34	Professional		$1,861.00	$4,348.45	$5,514.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,813.76 / $2,498.46 / $3,951.09	Facility		$1,813.76	$2,498.46	$3,951.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,813.76 / $2,498.46 / $3,951.09	Professional		$1,813.76	$2,498.46	$3,951.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,272.54 / $2,182.50 / $2,488.46	Facility		$1,272.54	$2,182.50	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,539.26 / $1,651.61 / $2,545.08	Professional		$1,539.26	$1,651.61	$2,545.08