Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.14 / $2,106.14 / $2,128.57	Facility		$2,106.14	$2,106.14	$2,128.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,106.14 / $2,106.14 / $2,381.38	Professional		$2,106.14	$2,106.14	$2,381.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,993.44 / $3,993.44 / $4,241.03	Facility		$3,993.44	$3,993.44	$4,241.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,396.26 / $2,396.26 / $3,092.88	Professional		$2,396.26	$2,396.26	$3,092.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,141.00 / $2,237.94 / $2,729.89	Professional		$2,141.00	$2,237.94	$2,729.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $2,668.30	Professional		$1,991.56	$1,991.56	$2,668.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,795.41 / $3,594.10 / $4,792.13	Professional		$2,795.41	$3,594.10	$4,792.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,277.01 / $2,456.03 / $4,545.83	Facility		$1,277.01	$2,456.03	$4,545.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,469.00 / $5,245.39 / $6,651.77	Professional		$2,469.00	$5,245.39	$6,651.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,187.89 / $3,013.81 / $4,766.09	Facility		$2,187.89	$3,013.81	$4,766.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,187.89 / $3,013.81 / $4,766.09	Professional		$2,187.89	$3,013.81	$4,766.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,867.81 / $1,992.28 / $3,048.16	Professional		$1,867.81	$1,992.28	$3,048.16