Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.41 / $2,262.41 / $2,286.48	Facility		$2,262.41	$2,262.41	$2,286.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,952.61 / $2,262.41 / $2,451.05	Professional		$1,952.61	$2,262.41	$2,451.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,289.72 / $4,289.72 / $4,555.68	Facility		$4,289.72	$4,289.72	$4,555.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,469.21 / $2,469.21 / $3,144.90	Professional		$2,469.21	$2,469.21	$3,144.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,300.00 / $2,300.00 / $2,932.43	Professional		$2,300.00	$2,300.00	$2,932.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,550.04	Facility		$2,550.04	$2,550.04	$2,550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $2,550.04	Professional		$1,861.53	$1,861.53	$2,550.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,002.80 / $3,860.75 / $5,147.66	Professional		$3,002.80	$3,860.75	$5,147.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,314.38 / $2,647.02 / $4,881.97	Facility		$1,314.38	$2,647.02	$4,881.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,322.00 / $5,634.57 / $7,145.29	Professional		$2,322.00	$5,634.57	$7,145.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,350.21 / $3,223.75 / $5,119.70	Facility		$2,350.21	$3,223.75	$5,119.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,350.21 / $3,223.75 / $5,119.70	Professional		$2,350.21	$3,223.75	$5,119.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,441.30 / $5,441.30 / $6,529.56	Facility		$5,441.30	$5,441.30	$6,529.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,993.40 / $2,140.10 / $3,137.34	Professional		$1,993.40	$2,140.10	$3,137.34