Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,307.87 / $2,307.87 / $2,332.44	Facility		$2,307.87	$2,307.87	$2,332.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,131.25 / $2,307.87 / $2,405.52	Professional		$2,131.25	$2,307.87	$2,405.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.92 / $4,375.92 / $4,647.22	Facility		$4,375.92	$4,375.92	$4,647.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,693.73 / $2,693.73 / $3,367.43	Professional		$2,693.73	$2,693.73	$3,367.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,442.92 / $2,442.92 / $2,991.35	Professional		$2,442.92	$2,442.92	$2,991.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $2,502.67	Professional		$1,826.95	$1,826.95	$2,502.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,063.14 / $3,938.33 / $5,251.10	Professional		$3,063.14	$3,938.33	$5,251.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,289.96 / $2,691.29 / $4,909.87	Facility		$1,289.96	$2,691.29	$4,909.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,535.00 / $5,747.80 / $7,288.87	Professional		$2,535.00	$5,747.80	$7,288.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,397.44 / $3,312.30 / $5,222.58	Facility		$2,397.44	$3,312.30	$5,222.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,397.44 / $3,312.30 / $5,222.58	Professional		$2,397.44	$3,312.30	$5,222.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,973.13 / $2,183.10 / $3,131.95	Professional		$1,973.13	$2,183.10	$3,131.95