Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,584.89	Facility		$1,548.82	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,511.89	Professional		$1,288.25	$1,548.82	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,162.28	Facility		$3,019.95	$3,019.95	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,467.37	Professional		$1,659.59	$1,659.59	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,041.74	Professional		$1,778.28	$1,778.28	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $1,949.84	Facility		$1,288.25	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,949.84	Professional		$1,412.54	$1,412.54	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $4,168.69	Professional		$2,089.30	$3,019.95	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,951.21	Professional		$1,513.56	$1,949.84	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,630.78	Facility		$1,288.25	$2,137.96	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $1,949.84	Professional		$1,621.81	$1,819.70	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $6,165.95	Facility		$1,621.81	$2,454.71	$6,165.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $6,165.95	Professional		$1,621.81	$2,454.71	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $4,265.80	Facility		$1,023.29	$2,041.74	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $2,238.72	Professional		$1,348.96	$1,479.11	$2,238.72