Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.42 / $2,851.42 / $2,881.78	Facility		$2,851.42	$2,851.42	$2,881.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,470.35 / $2,851.42 / $3,131.93	Professional		$2,470.35	$2,851.42	$3,131.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,406.56 / $5,406.56 / $5,741.77	Facility		$5,406.56	$5,406.56	$5,741.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,171.15 / $3,171.15 / $4,058.12	Professional		$3,171.15	$3,171.15	$4,058.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,899.00 / $2,899.00 / $3,695.89	Professional		$2,899.00	$2,899.00	$3,695.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $3,745.37	Facility		$3,745.37	$3,745.37	$3,745.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $3,612.50	Professional		$2,734.12	$2,734.12	$3,612.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,784.59 / $4,865.89 / $6,487.87	Professional		$3,784.59	$4,865.89	$6,487.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,679.50 / $3,325.13 / $6,154.42	Facility		$1,679.50	$3,325.13	$6,154.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,938.00 / $7,101.54 / $9,005.57	Professional		$2,938.00	$7,101.54	$9,005.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,962.09 / $4,063.05 / $6,452.61	Facility		$2,962.09	$4,063.05	$6,452.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,962.09 / $4,063.05 / $6,452.61	Professional		$2,962.09	$4,063.05	$6,452.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,437.83 / $2,697.27 / $4,008.86	Professional		$2,437.83	$2,697.27	$4,008.86