Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,199.21 / $3,199.21 / $3,233.27	Facility		$3,199.21	$3,199.21	$3,233.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,974.48 / $3,199.21 / $3,643.25	Professional		$2,974.48	$3,199.21	$3,643.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,065.98 / $6,065.98 / $6,442.07	Facility		$6,065.98	$6,065.98	$6,442.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,688.79 / $3,688.79 / $4,733.58	Professional		$3,688.79	$3,688.79	$4,733.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,386.40 / $3,399.41 / $4,146.67	Professional		$3,386.40	$3,399.41	$4,146.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $3,790.37	Facility		$3,790.37	$3,790.37	$3,790.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $3,790.37	Professional		$2,766.97	$2,766.97	$3,790.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,246.18 / $5,459.38 / $7,279.18	Professional		$4,246.18	$5,459.38	$7,279.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,953.69 / $3,730.69 / $6,806.11	Facility		$1,953.69	$3,730.69	$6,806.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,551.00 / $7,967.69 / $10,103.95	Professional		$3,551.00	$7,967.69	$10,103.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,323.37 / $4,577.93 / $7,239.61	Facility		$3,323.37	$4,577.93	$7,239.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,323.37 / $4,577.93 / $7,239.61	Professional		$3,323.37	$4,577.93	$7,239.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,837.18 / $3,026.25 / $4,663.35	Professional		$2,837.18	$3,026.25	$4,663.35