Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,193.12 / $4,294.16 / $4,294.16	Professional		$4,193.12	$4,294.16	$4,294.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,969.50	Professional		$4,041.56	$4,041.56	$4,969.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,041.56	Professional		$4,041.56	$4,041.56	$4,041.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,079.45 / $5,648.71 / $6,645.54	Professional		$4,079.45	$5,648.71	$6,645.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $5,051.95 / $7,085.36	Facility		$4,294.16	$5,051.95	$7,085.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,898.81 / $6,752.00 / $9,798.95	Professional		$5,898.81	$6,752.00	$9,798.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,999.46 / $4,799.35 / $6,188.64	Facility		$3,999.46	$4,799.35	$6,188.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,999.46 / $4,799.35 / $6,188.64	Professional		$3,999.46	$4,799.35	$6,188.64
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,051.95	Professional		$4,209.96	$4,209.96	$5,051.95