Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $2,415.00 / $6,333.57	Facility		$2,415.00	$2,415.00	$6,333.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.34 / $2,450.00 / $4,802.00	Professional		$2,398.34	$2,450.00	$4,802.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,521.30 / $3,224.17 / $4,421.93	Professional		$2,521.30	$3,224.17	$4,421.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $2,744.00 / $4,777.50	Professional		$2,450.00	$2,744.00	$4,777.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,218.75 / $3,068.62 / $5,909.61	Professional		$2,218.75	$3,068.62	$5,909.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,532.96 / $3,039.55 / $3,748.78	Professional		$2,532.96	$3,039.55	$3,748.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $3,125.33 / $4,419.45	Facility		$2,415.00	$3,125.33	$4,419.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,685.00 / $3,263.00 / $5,703.00	Professional		$2,685.00	$3,263.00	$5,703.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,275.38 / $3,021.00 / $6,207.26	Facility		$2,275.38	$3,021.00	$6,207.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,253.52 / $3,021.00 / $5,854.43	Professional		$2,253.52	$3,021.00	$5,854.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,491.30 / $4,337.66	Professional		$2,100.00	$2,491.30	$4,337.66