Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,408.08 / $2,408.08 / $2,433.71	Facility		$2,408.08	$2,408.08	$2,433.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.92 / $2,408.08 / $2,810.86	Professional		$2,238.92	$2,408.08	$2,810.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,565.92 / $4,565.92 / $4,849.01	Facility		$4,565.92	$4,565.92	$4,849.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,776.59 / $2,776.59 / $3,627.94	Professional		$2,776.59	$2,776.59	$3,627.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $2,558.77 / $3,121.24	Professional		$2,448.00	$2,558.77	$3,121.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,440.66 / $2,853.06 / $2,853.06	Facility		$2,440.66	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $2,853.06	Professional		$2,082.73	$2,082.73	$2,853.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,196.14 / $4,109.33 / $5,479.10	Professional		$3,196.14	$4,109.33	$5,479.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,470.57 / $2,896.13 / $5,197.50	Facility		$1,470.57	$2,896.13	$5,197.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,567.00 / $5,997.37 / $7,605.36	Professional		$2,567.00	$5,997.37	$7,605.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,501.53 / $3,431.32 / $5,449.34	Facility		$2,501.53	$3,431.32	$5,449.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,501.53 / $3,431.32 / $5,449.34	Professional		$2,501.53	$3,431.32	$5,449.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,058.79 / $2,277.89 / $3,510.16	Professional		$2,058.79	$2,277.89	$3,510.16