Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.38 / $1,748.38 / $1,766.99	Facility		$1,748.38	$1,748.38	$1,766.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.38 / $1,748.38 / $1,991.05	Professional		$1,748.38	$1,748.38	$1,991.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.08 / $3,315.08 / $3,520.61	Facility		$3,315.08	$3,315.08	$3,520.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,025.27 / $2,025.27 / $2,639.34	Professional		$2,025.27	$2,025.27	$2,639.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.00 / $1,778.00 / $2,266.17	Professional		$1,778.00	$1,778.00	$2,266.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $2,637.76	Facility		$2,637.76	$2,637.76	$2,637.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $2,637.76	Professional		$1,925.56	$1,925.56	$2,637.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,320.56 / $2,983.57 / $3,978.10	Professional		$2,320.56	$2,983.57	$3,978.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,067.70 / $2,038.83 / $3,773.64	Facility		$1,067.70	$2,038.83	$3,773.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,864.00 / $4,354.37 / $5,521.85	Professional		$1,864.00	$4,354.37	$5,521.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,816.23 / $2,491.30 / $4,053.61	Facility		$1,816.23	$2,491.30	$4,053.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,816.23 / $2,491.30 / $4,053.61	Professional		$1,816.23	$2,491.30	$4,053.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,540.49 / $1,653.86 / $2,548.54	Professional		$1,540.49	$1,653.86	$2,548.54