Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $1,995.26	Facility		$1,949.84	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,162.28	Professional		$1,621.81	$1,949.84	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,981.07	Facility		$3,801.89	$3,801.89	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,365.16	Professional		$2,089.30	$2,089.30	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $2,454.71	Facility		$1,621.81	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,454.71	Professional		$1,778.28	$1,778.28	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $5,248.07	Professional		$2,630.27	$3,801.89	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,715.35	Professional		$1,905.46	$2,454.71	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $4,570.88	Facility		$1,621.81	$2,691.53	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,454.71	Professional		$2,041.74	$2,290.87	$2,454.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $7,413.10	Facility		$2,041.74	$3,090.30	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $7,413.10	Professional		$2,041.74	$3,090.30	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $5,495.41	Facility		$1,288.25	$2,570.40	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,818.38	Professional		$1,698.24	$1,862.09	$2,818.38