Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.26 / $2,382.62 / $2,382.62	Facility		$1,972.26	$2,382.62	$2,382.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,972.26 / $2,382.62 / $2,651.81	Professional		$1,972.26	$2,382.62	$2,651.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $4,818.83 / $5,117.60	Facility		$4,818.83	$4,818.83	$5,117.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,828.47 / $2,828.47 / $3,535.87	Professional		$2,828.47	$2,828.47	$3,535.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,931.60 / $2,931.60 / $3,294.12	Professional		$2,931.60	$2,931.60	$3,294.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $2,012.35	Professional		$2,012.35	$2,012.35	$2,012.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,373.18 / $4,336.95 / $5,782.60	Professional		$3,373.18	$4,336.95	$5,782.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,420.87 / $2,924.95 / $5,384.25	Facility		$1,420.87	$2,924.95	$5,384.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,482.62 / $6,023.54 / $8,026.62	Professional		$3,482.62	$6,023.54	$8,026.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,640.11 / $3,653.36 / $6,023.54	Facility		$2,640.11	$3,653.36	$6,023.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,640.11 / $3,653.36 / $6,023.54	Professional		$2,640.11	$3,653.36	$6,023.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,998.41 / $2,404.07 / $3,621.39	Professional		$1,998.41	$2,404.07	$3,621.39