Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.06 / $1,960.06 / $1,980.92	Facility		$1,960.06	$1,960.06	$1,980.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,792.11 / $1,960.06 / $2,035.43	Professional		$1,792.11	$1,960.06	$2,035.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,716.43 / $3,716.43 / $3,946.85	Facility		$3,716.43	$3,716.43	$3,946.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.88 / $2,060.88 / $2,636.58	Professional		$2,060.88	$2,060.88	$2,636.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,074.75 / $2,074.75 / $2,540.53	Professional		$2,074.75	$2,074.75	$2,540.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $2,677.88	Facility		$2,677.88	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $1,954.85 / $2,677.88	Professional		$1,954.85	$1,954.85	$2,677.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,601.50 / $3,344.79 / $4,459.72	Professional		$2,601.50	$3,344.79	$4,459.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,091.50 / $2,285.67 / $4,169.89	Facility		$1,091.50	$2,285.67	$4,169.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,131.00 / $4,881.56 / $6,190.38	Professional		$2,131.00	$4,881.56	$6,190.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,036.13 / $2,804.77 / $4,435.49	Facility		$2,036.13	$2,804.77	$4,435.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,036.13 / $2,804.77 / $4,435.49	Professional		$2,036.13	$2,804.77	$4,435.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,690.72 / $1,854.09 / $2,792.93	Professional		$1,690.72	$1,854.09	$2,792.93