Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,402.02 / $2,402.02 / $2,427.59	Facility		$2,402.02	$2,402.02	$2,427.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,971.56 / $2,402.02 / $2,504.26	Professional		$1,971.56	$2,402.02	$2,504.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,554.43 / $4,554.43 / $4,836.82	Facility		$4,554.43	$4,554.43	$4,836.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,547.31 / $2,547.31 / $3,235.42	Professional		$2,547.31	$2,547.31	$3,235.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,442.00 / $2,442.00 / $3,113.39	Professional		$2,442.00	$2,442.00	$3,113.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,006.81	Professional		$2,194.96	$2,194.96	$3,006.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,188.11 / $4,099.00 / $5,465.33	Professional		$3,188.11	$4,099.00	$5,465.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,342.91 / $2,801.06 / $5,110.14	Facility		$1,342.91	$2,801.06	$5,110.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,345.00 / $5,982.29 / $7,586.23	Professional		$2,345.00	$5,982.29	$7,586.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,495.23 / $3,422.69 / $5,435.64	Facility		$2,495.23	$3,422.69	$5,435.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,495.23 / $3,422.69 / $5,435.64	Professional		$2,495.23	$3,422.69	$5,435.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,080.16 / $2,272.16 / $3,422.69	Professional		$2,080.16	$2,272.16	$3,422.69