Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.98 / $2,087.98 / $2,110.21	Facility		$2,087.98	$2,087.98	$2,110.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,087.98 / $2,087.98 / $2,899.65	Professional		$2,087.98	$2,087.98	$2,899.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.99 / $3,958.99 / $4,204.45	Facility		$3,958.99	$3,958.99	$4,204.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,043.56 / $3,043.56 / $3,929.50	Professional		$3,043.56	$3,043.56	$3,929.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,252.23 / $2,252.23 / $2,706.34	Professional		$2,252.23	$2,252.23	$2,706.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,001.57	Professional		$2,191.15	$2,191.15	$3,001.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,771.29 / $3,563.09 / $4,750.79	Professional		$2,771.29	$3,563.09	$4,750.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,110.21 / $2,899.65 / $4,404.33	Facility		$2,110.21	$2,899.65	$4,404.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,154.42 / $5,200.16 / $6,594.40	Professional		$3,154.42	$5,200.16	$6,594.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,282.67 / $3,043.56 / $4,431.42	Facility		$2,282.67	$3,043.56	$4,431.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,282.67 / $3,043.56 / $4,413.16	Professional		$2,282.67	$3,043.56	$4,413.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,840.75 / $1,975.10 / $3,043.56	Professional		$1,840.75	$1,975.10	$3,043.56