Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,917.43 / $2,917.43 / $2,948.49	Facility		$2,917.43	$2,917.43	$2,948.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,523.48 / $2,917.43 / $3,205.32	Professional		$2,523.48	$2,917.43	$3,205.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,531.70 / $5,531.70 / $5,874.67	Facility		$5,531.70	$5,531.70	$5,874.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,205.32 / $3,205.32 / $4,160.12	Professional		$3,205.32	$3,205.32	$4,160.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,966.00 / $2,966.00 / $3,781.44	Professional		$2,966.00	$2,966.00	$3,781.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $4,072.36	Professional		$2,972.82	$2,972.82	$4,072.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,872.19 / $4,978.53 / $6,638.04	Professional		$3,872.19	$4,978.53	$6,638.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,718.86 / $3,402.10 / $6,296.88	Facility		$1,718.86	$3,402.10	$6,296.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,081.00 / $7,265.92 / $9,214.03	Professional		$3,081.00	$7,265.92	$9,214.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,030.66 / $4,157.10 / $6,601.98	Facility		$3,030.66	$4,157.10	$6,601.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,030.66 / $4,157.10 / $6,601.98	Professional		$3,030.66	$4,157.10	$6,601.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,573.11 / $2,759.71 / $4,102.81	Professional		$2,573.11	$2,759.71	$4,102.81