Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,832.96 / $4,802.52 / $6,119.19	Facility		$2,832.96	$4,802.52	$6,119.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,257.90	Professional		$2,698.05	$2,698.05	$3,257.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $5,584.96 / $8,822.62	Facility		$2,698.05	$5,584.96	$8,822.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,616.46	Professional		$2,698.05	$2,698.05	$3,616.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,710.47	Professional		$2,698.05	$2,698.05	$2,710.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.33 / $2,545.33 / $2,698.05	Facility		$2,545.33	$2,545.33	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,293.34 / $2,698.05 / $3,237.66	Professional		$2,293.34	$2,698.05	$3,237.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,439.71 / $2,832.96 / $4,316.88	Facility		$2,439.71	$2,832.96	$4,316.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,854.00 / $6,192.36	Professional		$2,698.05	$3,854.00	$6,192.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,054.40 / $4,047.08	Facility		$2,698.05	$3,054.40	$4,047.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,054.40 / $4,047.08	Professional		$2,698.05	$3,054.40	$4,047.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,859.93 / $3,034.93	Professional		$2,698.05	$2,859.93	$3,034.93