Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,162.28	Professional		$1,584.89	$2,041.74	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,168.69	Facility		$3,890.45	$3,890.45	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,466.84	Professional		$2,137.96	$2,137.96	$4,466.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,691.53	Professional		$2,041.74	$2,041.74	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $2,137.96	Facility		$1,737.80	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,137.96	Professional		$1,584.89	$1,584.89	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $5,495.41	Professional		$2,754.23	$3,890.45	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,890.45	Professional		$1,819.70	$2,570.40	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $4,897.79	Facility		$1,548.82	$2,691.53	$4,897.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,570.40	Professional		$2,089.30	$2,238.72	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $7,585.78	Facility		$2,089.30	$3,162.28	$7,585.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $7,585.78	Professional		$2,089.30	$3,162.28	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $5,495.41	Facility		$1,288.25	$2,570.40	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,884.03	Professional		$1,737.80	$1,905.46	$2,884.03