Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Professional		$1,258.93	$1,479.11	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,019.95	Facility		$2,818.38	$2,818.38	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,548.13	Professional		$1,698.24	$1,698.24	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Professional		$1,479.11	$1,479.11	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,137.96	Facility		$1,380.38	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,137.96	Professional		$1,548.82	$1,548.82	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,981.07	Professional		$1,995.26	$2,818.38	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,818.38	Professional		$1,513.56	$1,862.09	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $3,801.89	Facility		$1,202.26	$2,089.30	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,949.84	Professional		$1,513.56	$1,862.09	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $5,888.44	Facility		$1,513.56	$2,344.23	$5,888.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $5,888.44	Professional		$1,513.56	$2,344.23	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $3,801.89	Facility		$1,047.13	$2,089.30	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $2,137.96	Professional		$1,288.25	$1,380.38	$2,137.96