Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.36 / $2,643.84 / $6,058.07	Facility		$2,517.36	$2,643.84	$6,058.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.63 / $2,643.84 / $2,643.84	Professional		$2,581.63	$2,643.84	$2,643.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.02 / $2,928.72 / $4,719.27	Facility		$1,388.02	$2,928.72	$4,719.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,488.32 / $3,048.19	Professional		$2,488.32	$2,488.32	$3,048.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,517.36 / $2,517.36 / $2,643.84	Professional		$2,517.36	$2,517.36	$2,643.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.65 / $3,013.98 / $3,545.86	Professional		$2,511.65	$3,013.98	$3,545.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $3,110.40 / $4,362.34	Facility		$2,643.84	$3,110.40	$4,362.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,462.40 / $2,954.88 / $3,810.24	Facility		$2,462.40	$2,954.88	$3,810.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,462.40 / $2,954.88 / $3,810.24	Professional		$2,462.40	$2,954.88	$3,810.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $3,110.40	Professional		$2,592.00	$2,592.00	$3,110.40