Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.67 / $2,091.67 / $2,113.94	Facility		$2,091.67	$2,091.67	$2,113.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.56 / $2,091.67 / $2,194.12	Professional		$1,931.56	$2,091.67	$2,194.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,965.99 / $3,965.99 / $4,211.88	Facility		$3,965.99	$3,965.99	$4,211.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,207.84 / $2,207.84 / $2,842.72	Professional		$2,207.84	$2,207.84	$2,842.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,214.05 / $2,214.05 / $2,711.13	Professional		$2,214.05	$2,214.05	$2,711.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.96 / $2,282.71 / $2,282.71	Facility		$2,119.96	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $2,282.71	Professional		$1,666.39	$1,666.39	$2,282.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,776.19 / $3,569.39 / $4,759.18	Professional		$2,776.19	$3,569.39	$4,759.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $2,439.15 / $4,514.59	Facility		$1,176.59	$2,439.15	$4,514.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,297.00 / $5,209.35 / $6,606.06	Professional		$2,297.00	$5,209.35	$6,606.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,172.84 / $2,993.09 / $4,733.32	Facility		$2,172.84	$2,993.09	$4,733.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,172.84 / $2,993.09 / $4,733.32	Professional		$2,172.84	$2,993.09	$4,733.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,822.54 / $1,978.58 / $2,974.49	Professional		$1,822.54	$1,978.58	$2,974.49