Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $2,511.89	Facility		$2,454.71	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $4,073.80	Professional		$2,041.74	$2,511.89	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,128.61	Facility		$4,786.30	$4,786.30	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $6,025.60	Professional		$2,884.03	$2,884.03	$6,025.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,311.31	Professional		$2,511.89	$2,511.89	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $3,801.89	Facility		$2,454.71	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,801.89	Professional		$2,754.23	$2,754.23	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $6,760.83	Professional		$3,388.44	$4,786.30	$6,760.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,677.35	Professional		$2,344.23	$3,162.28	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $6,606.93	Facility		$2,041.74	$3,467.37	$6,606.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $3,715.35	Professional		$2,570.40	$3,162.28	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $9,332.54	Facility		$2,570.40	$3,890.45	$9,332.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $9,332.54	Professional		$2,570.40	$3,890.45	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $6,456.54	Facility		$1,778.28	$3,548.13	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,344.23 / $3,630.78	Professional		$2,187.76	$2,344.23	$3,630.78