Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.38 / $3,466.53 / $5,874.81	Facility		$1,923.38	$3,466.53	$5,874.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,222.14 / $2,351.23	Professional		$2,116.32	$2,222.14	$2,351.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $4,465.43 / $7,195.49	Facility		$2,116.32	$4,465.43	$7,195.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,825.91 / $3,215.69 / $4,852.76	Professional		$2,825.91	$3,215.69	$4,852.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $1,996.53 / $2,116.32	Facility		$1,996.53	$1,996.53	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,798.87 / $2,426.55 / $2,539.58	Professional		$1,798.87	$2,426.55	$2,539.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.25 / $2,098.00 / $3,046.13	Facility		$914.25	$2,098.00	$3,046.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,244.00 / $1,244.00 / $1,244.00	Professional		$1,244.00	$1,244.00	$1,244.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,972.20 / $2,116.32 / $2,708.89	Facility		$1,972.20	$2,116.32	$2,708.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,972.20 / $2,116.32 / $2,708.89	Professional		$1,972.20	$2,116.32	$2,708.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,899.10 / $7,899.10 / $7,899.10	Facility		$7,899.10	$7,899.10	$7,899.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,082.14 / $2,116.32 / $2,426.55	Professional		$2,082.14	$2,116.32	$2,426.55