Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,177.00 / $3,177.00 / $3,177.00	Facility		$3,177.00	$3,177.00	$3,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,564.91 / $3,177.00 / $3,993.84	Professional		$2,564.91	$3,177.00	$3,993.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,893.06 / $3,893.06 / $3,893.06	Professional		$3,893.06	$3,893.06	$3,893.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,732.60 / $3,732.60 / $3,732.70	Professional		$3,732.60	$3,732.60	$3,732.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $5,117.10	Facility		$3,248.38	$3,248.38	$5,117.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $3,248.38 / $3,248.38	Professional		$453.13	$3,248.38	$3,248.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $5,132.66 / $6,038.42	Professional		$4,528.81	$5,132.66	$6,038.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,679.67 / $2,767.83 / $5,281.80	Facility		$1,679.67	$2,767.83	$5,281.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,952.00 / $3,952.00 / $3,952.00	Professional		$3,952.00	$3,952.00	$3,952.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.88 / $2,174.30 / $4,754.54	Facility		$338.88	$2,174.30	$4,754.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $338.88 / $2,174.30 / $4,610.87	Professional		$338.88	$2,174.30	$4,610.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,239.57 / $2,610.23 / $4,327.10	Professional		$2,239.57	$2,610.23	$4,327.10