Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,235.94	Professional		$2,137.96	$2,454.71	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $3,235.94	Professional		$2,290.87	$2,691.53	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $4,786.30	Professional		$3,019.95	$3,548.13	$4,786.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,818.38	Professional		$2,570.40	$2,570.40	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $4,168.69	Facility		$2,398.83	$2,511.89	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $489.78 / $3,630.78	Facility		$263.03	$489.78	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $3,630.78	Professional		$263.03	$489.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,258.93 / $2,630.27	Facility		$158.49	$1,258.93	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $3,311.31	Professional		$1,862.09	$2,089.30	$3,311.31