Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,246.60	Facility		$2,222.92	$2,222.92	$2,246.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,217.25 / $2,222.92 / $2,531.46	Professional		$2,217.25	$2,222.92	$2,531.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,214.88 / $4,214.88 / $4,476.20	Facility		$4,214.88	$4,214.88	$4,476.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,574.31 / $2,574.31 / $3,282.90	Professional		$2,574.31	$2,574.31	$3,282.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,260.00 / $2,260.00 / $2,881.26	Professional		$2,260.00	$2,260.00	$2,881.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,371.77 / $3,249.00	Professional		$2,371.77	$2,371.77	$3,249.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,950.42 / $3,793.39 / $5,057.85	Professional		$2,950.42	$3,793.39	$5,057.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,357.50 / $2,673.45 / $4,797.89	Facility		$1,357.50	$2,673.45	$4,797.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,370.00 / $5,536.26 / $7,020.62	Professional		$2,370.00	$5,536.26	$7,020.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,309.19 / $3,167.50 / $5,030.37	Facility		$2,309.19	$3,167.50	$5,030.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,309.19 / $3,167.50 / $5,030.37	Professional		$2,309.19	$3,167.50	$5,030.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,958.62 / $2,102.75 / $3,240.28	Professional		$1,958.62	$2,102.75	$3,240.28