Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $1,949.84	Facility		$1,905.46	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,691.53	Professional		$1,412.54	$1,905.46	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,890.45	Facility		$3,715.35	$3,715.35	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,073.80	Professional		$1,949.84	$1,949.84	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,511.89	Professional		$1,949.84	$1,949.84	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $2,454.71	Facility		$1,621.81	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,454.71	Professional		$1,819.70	$1,819.70	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $5,128.61	Professional		$2,570.40	$3,715.35	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,630.78	Professional		$1,698.24	$2,398.83	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $4,466.84	Facility		$1,380.38	$2,511.89	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $2,398.83	Professional		$1,995.26	$2,041.74	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $7,413.10	Facility		$1,995.26	$3,019.95	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $7,413.10	Professional		$1,995.26	$3,019.95	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $4,365.16	Facility		$1,202.26	$2,398.83	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,754.23	Professional		$1,584.89	$1,819.70	$2,754.23