Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,879.85 / $2,879.85 / $2,910.52	Facility		$2,879.85	$2,879.85	$2,910.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,705.97 / $2,879.85 / $3,290.82	Professional		$2,705.97	$2,879.85	$3,290.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,460.46 / $5,460.46 / $5,799.01	Facility		$5,460.46	$5,460.46	$5,799.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,569.66 / $3,569.66 / $4,587.64	Professional		$3,569.66	$3,569.66	$4,587.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,926.39 / $3,060.08 / $3,732.74	Professional		$2,926.39	$3,060.08	$3,732.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $3,728.42	Professional		$2,721.75	$2,721.75	$3,728.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,822.32 / $4,914.41 / $6,552.55	Professional		$3,822.32	$4,914.41	$6,552.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,910.52 / $3,762.02 / $6,074.69	Facility		$2,910.52	$3,762.02	$6,074.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,275.58 / $7,172.34 / $9,095.36	Professional		$4,275.58	$7,172.34	$9,095.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,991.62 / $4,273.74 / $6,248.53	Facility		$2,991.62	$4,273.74	$6,248.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,991.62 / $4,273.74 / $6,248.53	Professional		$2,991.62	$4,273.74	$6,248.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,537.42 / $2,724.16 / $4,099.46	Professional		$2,537.42	$2,724.16	$4,099.46