Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.35 / $1,587.35 / $1,587.35	Facility		$1,587.35	$1,587.35	$1,587.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,307.94 / $1,587.35 / $2,036.52	Professional		$1,307.94	$1,587.35	$2,036.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,639.01 / $2,639.01 / $2,639.01	Facility		$2,639.01	$2,639.01	$2,639.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,024.42 / $2,024.42 / $2,024.42	Professional		$2,024.42	$2,024.42	$2,024.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,569.17 / $2,569.17 / $2,569.17	Professional		$2,569.17	$2,569.17	$2,569.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.08 / $2,217.64 / $2,217.64	Facility		$2,204.08	$2,217.64	$2,217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $2,269.14	Professional		$1,884.99	$2,217.64	$2,269.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,923.86 / $2,243.16 / $3,023.21	Professional		$1,923.86	$2,243.16	$3,023.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,553.35 / $1,613.67 / $2,639.01	Facility		$1,553.35	$1,613.67	$2,639.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,491.69 / $2,491.69 / $2,491.69	Professional		$2,491.69	$2,491.69	$2,491.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.98 / $304.58 / $2,373.05	Facility		$177.98	$304.58	$2,373.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $304.58 / $2,373.05	Professional		$177.98	$304.58	$2,373.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.56 / $1,324.07 / $2,146.28	Professional		$1,186.56	$1,324.07	$2,146.28