Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.57 / $2,318.57 / $2,343.25	Facility		$2,318.57	$2,318.57	$2,343.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.00 / $2,318.57 / $2,443.31	Professional		$1,991.00	$2,318.57	$2,443.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,396.20 / $4,396.20 / $4,668.76	Facility		$4,396.20	$4,396.20	$4,668.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,516.48 / $2,516.48 / $3,165.88	Professional		$2,516.48	$2,516.48	$3,165.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,454.23 / $2,454.23 / $3,005.21	Professional		$2,454.23	$2,454.23	$3,005.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,364.97	Professional		$2,456.42	$2,456.42	$3,364.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,077.34 / $3,956.58 / $5,275.44	Professional		$3,077.34	$3,956.58	$5,275.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,310.23 / $2,703.74 / $4,977.97	Facility		$1,310.23	$2,703.74	$4,977.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,368.00 / $5,774.43 / $7,322.65	Professional		$2,368.00	$5,774.43	$7,322.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,408.55 / $3,317.78 / $5,246.77	Facility		$2,408.55	$3,317.78	$5,246.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,408.55 / $3,317.78 / $5,246.77	Professional		$2,408.55	$3,317.78	$5,246.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,982.26 / $2,193.21 / $3,146.45	Professional		$1,982.26	$2,193.21	$3,146.45