Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $4,677.35	Professional		$2,398.83	$2,884.03	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,888.44	Facility		$5,623.41	$5,623.41	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $7,413.10	Professional		$3,548.13	$3,548.13	$7,413.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,801.89	Professional		$2,951.21	$2,951.21	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $3,715.35	Facility		$2,454.71	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,623.41 / $7,762.47	Professional		$3,890.45	$5,623.41	$7,762.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $6,760.83	Facility		$2,570.40	$3,981.07	$6,760.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $3,630.78	Professional		$3,019.95	$3,235.94	$3,630.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $9,120.11	Facility		$3,019.95	$4,570.88	$9,120.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $9,120.11	Professional		$3,019.95	$4,570.88	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $8,128.31	Facility		$1,949.84	$3,890.45	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $4,365.16	Professional		$2,511.89	$2,754.23	$4,365.16