Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,621.25 / $2,621.25 / $2,649.15	Facility		$2,621.25	$2,621.25	$2,649.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,420.62 / $2,621.25 / $2,732.14	Professional		$2,420.62	$2,621.25	$2,732.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,970.12 / $4,970.12 / $5,278.27	Facility		$4,970.12	$4,970.12	$5,278.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,779.11 / $2,779.11 / $3,539.34	Professional		$2,779.11	$2,779.11	$3,539.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,748.93 / $2,748.93 / $3,397.54	Professional		$2,748.93	$2,748.93	$3,397.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $3,294.10	Facility		$3,294.10	$3,294.10	$3,294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $3,294.10	Professional		$2,404.69	$2,404.69	$3,294.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,479.08 / $4,473.10 / $5,964.14	Professional		$3,479.08	$4,473.10	$5,964.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,465.11 / $3,056.71 / $5,576.56	Facility		$1,465.11	$3,056.71	$5,576.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,079.00 / $6,528.27 / $8,278.60	Professional		$3,079.00	$6,528.27	$8,278.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,722.98 / $3,768.04 / $6,212.65	Facility		$2,722.98	$3,768.04	$6,212.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,722.98 / $3,768.04 / $6,212.65	Professional		$2,722.98	$3,768.04	$6,212.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,269.44 / $2,479.54 / $3,557.22	Professional		$2,269.44	$2,479.54	$3,557.22