Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,080.52 / $2,080.52 / $2,102.67	Facility		$2,080.52	$2,080.52	$2,102.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,049.53 / $2,080.52 / $2,463.04	Professional		$2,049.53	$2,080.52	$2,463.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,944.84 / $3,944.84 / $4,189.42	Facility		$3,944.84	$3,944.84	$4,189.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,859.80 / $2,859.80 / $3,575.03	Professional		$2,859.80	$2,859.80	$3,575.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,202.25 / $2,210.71 / $2,696.67	Professional		$2,202.25	$2,210.71	$2,696.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,108.66 / $2,481.10 / $2,481.10	Facility		$2,108.66	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $2,481.10	Professional		$1,811.20	$1,811.20	$2,481.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,761.39 / $3,550.36 / $4,733.81	Professional		$2,761.39	$3,550.36	$4,733.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,270.53 / $2,426.15 / $4,426.16	Facility		$1,270.53	$2,426.15	$4,426.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,677.00 / $5,181.57 / $6,570.83	Professional		$2,677.00	$5,181.57	$6,570.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,161.26 / $2,964.57 / $4,708.08	Facility		$2,161.26	$2,964.57	$4,708.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,161.26 / $2,964.57 / $4,708.08	Professional		$2,161.26	$2,964.57	$4,708.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.35 / $2,600.65 / $2,965.23	Facility		$1,516.35	$2,600.65	$2,965.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,845.08 / $1,968.04 / $3,032.69	Professional		$1,845.08	$1,968.04	$3,032.69