Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,417.84 / $2,417.84 / $2,443.58	Facility		$2,417.84	$2,417.84	$2,443.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,411.66 / $2,417.84 / $2,770.40	Professional		$2,411.66	$2,417.84	$2,770.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.43 / $4,584.43 / $4,868.68	Facility		$4,584.43	$4,584.43	$4,868.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,800.76 / $2,800.76 / $3,606.47	Professional		$2,800.76	$2,800.76	$3,606.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,458.00 / $2,569.15 / $3,133.89	Professional		$2,458.00	$2,569.15	$3,133.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $3,670.30	Facility		$3,670.30	$3,670.30	$3,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $3,670.30	Professional		$2,679.32	$2,679.32	$3,670.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,209.11 / $4,126.00 / $5,501.33	Professional		$3,209.11	$4,126.00	$5,501.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,476.53 / $2,828.87 / $5,218.58	Facility		$1,476.53	$2,828.87	$5,218.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,578.00 / $6,021.67 / $7,636.18	Professional		$2,578.00	$6,021.67	$7,636.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,511.67 / $3,459.83 / $5,471.43	Facility		$2,511.67	$3,459.83	$5,471.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,511.67 / $3,459.83 / $5,471.43	Professional		$2,511.67	$3,459.83	$5,471.43
United Facility/Professional Professional Modifier Low / Median / High Price $2,067.14 / $2,287.12 / $3,524.39	Professional		$2,067.14	$2,287.12	$3,524.39