Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.41 / $1,840.38 / $1,840.38	Facility		$1,523.41	$1,840.38	$1,840.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.41 / $1,840.38 / $2,121.78	Professional		$1,523.41	$1,840.38	$2,121.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,722.17 / $3,722.17 / $3,952.94	Facility		$3,722.17	$3,722.17	$3,952.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,151.62 / $2,151.62 / $2,713.89	Professional		$2,151.62	$2,151.62	$2,713.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,996.00 / $1,996.00 / $2,544.44	Professional		$1,996.00	$1,996.00	$2,544.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $2,507.59	Facility		$2,507.59	$2,507.59	$2,507.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $2,507.59	Professional		$1,830.54	$1,830.54	$2,507.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,605.52 / $3,349.95 / $4,466.60	Professional		$2,605.52	$3,349.95	$4,466.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,137.80 / $2,289.19 / $4,176.32	Facility		$1,137.80	$2,289.19	$4,176.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,986.00 / $4,652.71 / $6,199.94	Professional		$1,986.00	$4,652.71	$6,199.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,039.26 / $2,809.08 / $4,442.33	Facility		$2,039.26	$2,809.08	$4,442.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,039.26 / $2,809.08 / $4,442.33	Professional		$2,039.26	$2,809.08	$4,442.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.29 / $1,856.95 / $2,790.06	Professional		$1,600.29	$1,856.95	$2,790.06