Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,454.71 / $2,454.71	Facility		$2,398.83	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,981.07	Professional		$1,995.26	$2,454.71	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,011.87	Facility		$4,677.35	$4,677.35	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,888.44	Professional		$2,818.38	$2,818.38	$5,888.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,235.94	Professional		$2,454.71	$2,454.71	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $3,548.13	Facility		$2,290.87	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,548.13	Professional		$2,570.40	$2,570.40	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $6,606.93	Professional		$3,235.94	$4,677.35	$6,606.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,570.88	Professional		$2,290.87	$3,090.30	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $6,165.95	Facility		$1,995.26	$3,467.37	$6,165.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,019.95	Professional		$2,511.89	$2,754.23	$3,019.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $9,120.11	Facility		$2,511.89	$3,801.89	$9,120.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $9,120.11	Professional		$2,511.89	$3,801.89	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $6,165.95	Facility		$1,737.80	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,548.13	Professional		$2,137.96	$2,290.87	$3,548.13