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 $1,659.59 / $2,041.74 / $3,548.13	Professional		$1,659.59	$2,041.74	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,168.69	Facility		$3,981.07	$3,981.07	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $4,897.79	Professional		$2,344.23	$2,344.23	$4,897.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,691.53	Professional		$2,089.30	$2,089.30	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $3,311.31	Facility		$2,137.96	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,311.31	Professional		$2,398.83	$2,398.83	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $5,495.41	Professional		$2,754.23	$3,981.07	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,890.45	Professional		$1,905.46	$2,570.40	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $5,495.41	Facility		$1,659.59	$2,884.03	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,570.40	Professional		$2,137.96	$2,290.87	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $7,585.78	Facility		$2,137.96	$3,235.94	$7,585.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $7,585.78	Professional		$2,137.96	$3,235.94	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $5,248.07	Facility		$1,445.44	$2,884.03	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,951.21	Professional		$1,819.70	$1,905.46	$2,951.21