Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.60 / $1,619.60 / $1,636.84	Facility		$1,619.60	$1,619.60	$1,636.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.06 / $1,619.60 / $1,941.20	Professional		$1,607.06	$1,619.60	$1,941.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,070.90 / $3,070.90 / $3,261.30	Facility		$3,070.90	$3,070.90	$3,261.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,876.10 / $1,876.10 / $2,400.46	Professional		$1,876.10	$1,876.10	$2,400.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,647.00 / $1,647.00 / $2,099.23	Professional		$1,647.00	$1,647.00	$2,099.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $2,571.77	Facility		$2,571.77	$2,571.77	$2,571.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $2,571.77	Professional		$1,877.39	$1,877.39	$2,571.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,149.63 / $2,763.81 / $3,685.08	Professional		$2,149.63	$2,763.81	$3,685.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $1,888.66 / $3,495.67	Facility		$989.06	$1,888.66	$3,495.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,959.00 / $4,033.63 / $5,115.10	Professional		$1,959.00	$4,033.63	$5,115.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,682.45 / $2,307.80 / $3,665.05	Facility		$1,682.45	$2,307.80	$3,665.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,682.45 / $2,307.80 / $3,665.05	Professional		$1,682.45	$2,307.80	$3,665.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.43 / $1,532.03 / $2,360.82	Professional		$1,455.43	$1,532.03	$2,360.82