Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $2,398.83	Facility		$2,344.23	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $3,801.89	Professional		$2,041.74	$2,344.23	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,786.30	Facility		$4,570.88	$4,570.88	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $5,623.41	Professional		$2,691.53	$2,691.53	$5,623.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,090.30	Professional		$2,398.83	$2,398.83	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $2,754.23	Facility		$1,949.84	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,754.23	Professional		$2,041.74	$2,041.74	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,309.57	Professional		$3,162.28	$4,570.88	$6,309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,466.84	Professional		$2,344.23	$2,951.21	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $6,025.60	Facility		$1,949.84	$3,311.31	$6,025.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,467.37	Professional		$2,454.71	$2,951.21	$3,467.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $8,709.64	Facility		$2,454.71	$3,715.35	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $8,709.64	Professional		$2,454.71	$3,715.35	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $6,025.60	Facility		$1,659.59	$3,311.31	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $3,388.44	Professional		$2,089.30	$2,238.72	$3,388.44