Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,258.21 / $2,258.21 / $2,282.25	Facility		$2,258.21	$2,258.21	$2,282.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,085.36 / $2,258.21 / $2,353.73	Professional		$2,085.36	$2,258.21	$2,353.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,281.76 / $4,281.76 / $4,547.22	Facility		$4,281.76	$4,281.76	$4,547.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,635.75 / $2,635.75 / $3,294.95	Professional		$2,635.75	$2,635.75	$3,294.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,675.00 / $2,675.00 / $2,926.99	Professional		$2,675.00	$2,675.00	$2,926.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $2,448.80	Professional		$1,787.62	$1,787.62	$2,448.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,997.23 / $3,853.58 / $5,138.10	Professional		$2,997.23	$3,853.58	$5,138.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,262.19 / $2,633.36 / $4,804.18	Facility		$1,262.19	$2,633.36	$4,804.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,467.00 / $5,624.12 / $7,132.04	Professional		$2,467.00	$5,624.12	$7,132.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,345.85 / $3,231.41 / $5,110.20	Facility		$2,345.85	$3,231.41	$5,110.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,345.85 / $3,231.41 / $5,110.20	Professional		$2,345.85	$3,231.41	$5,110.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,955.12 / $2,136.13 / $3,100.81	Professional		$1,955.12	$2,136.13	$3,100.81