Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.00 / $5,087.00 / $8,920.00	Facility		$2,065.00	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.16 / $2,032.70 / $2,939.92	Professional		$1,736.16	$2,032.70	$2,939.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.84 / $2,086.83 / $3,450.15	Professional		$1,612.84	$2,086.83	$3,450.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,012.00 / $2,594.55 / $4,021.55	Professional		$2,012.00	$2,594.55	$4,021.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,979.68	Facility		$1,200.00	$1,200.00	$1,979.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.55 / $2,368.27 / $4,407.84	Professional		$1,453.55	$2,368.27	$4,407.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,663.56 / $2,152.84 / $2,544.27	Professional		$1,663.56	$2,152.84	$2,544.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,678.08 / $2,512.33 / $3,762.22	Facility		$1,678.08	$2,512.33	$3,762.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,634.06 / $2,639.00 / $4,081.70	Professional		$1,634.06	$2,639.00	$4,081.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,124.11 / $2,220.13 / $4,474.28	Facility		$1,124.11	$2,220.13	$4,474.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,344.45 / $2,220.13 / $4,474.28	Professional		$1,344.45	$2,220.13	$4,474.28
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,281.83 / $2,116.00 / $4,011.04	Professional		$1,281.83	$2,116.00	$4,011.04