Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,486.42 / $2,486.42 / $2,512.89	Facility		$2,486.42	$2,486.42	$2,512.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,296.14 / $2,486.42 / $2,591.62	Professional		$2,296.14	$2,486.42	$2,591.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,714.47 / $4,714.47 / $5,006.78	Facility		$4,714.47	$4,714.47	$5,006.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,902.12 / $2,902.12 / $3,627.94	Professional		$2,902.12	$2,902.12	$3,627.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,631.91 / $2,631.91 / $3,222.79	Professional		$2,631.91	$2,631.91	$3,222.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,107.31 / $2,886.72	Professional		$2,107.31	$2,107.31	$2,886.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,300.14 / $4,243.03 / $5,657.38	Professional		$3,300.14	$4,243.03	$5,657.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $2,899.49 / $5,289.70	Facility		$1,389.75	$2,899.49	$5,289.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,717.00 / $6,192.49 / $7,852.79	Professional		$2,717.00	$6,192.49	$7,852.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,582.92 / $3,557.97 / $5,626.63	Facility		$2,582.92	$3,557.97	$5,626.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,582.92 / $3,557.97 / $5,626.63	Professional		$2,582.92	$3,557.97	$5,626.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,753.36 / $5,753.36 / $6,904.03	Facility		$5,753.36	$5,753.36	$6,904.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,125.77 / $2,352.00 / $3,374.24	Professional		$2,125.77	$2,352.00	$3,374.24