Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,347.01 / $2,347.01 / $2,372.00	Facility		$2,347.01	$2,347.01	$2,372.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.71 / $2,347.01 / $2,618.94	Professional		$2,225.71	$2,347.01	$2,618.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,450.14 / $4,450.14 / $4,726.06	Facility		$4,450.14	$4,450.14	$4,726.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,704.43 / $2,704.43 / $3,458.30	Professional		$2,704.43	$2,704.43	$3,458.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,386.00 / $2,386.00 / $3,042.10	Professional		$2,386.00	$2,386.00	$3,042.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,378.78 / $2,780.72 / $2,780.72	Facility		$2,378.78	$2,780.72	$2,780.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,029.93 / $2,780.72	Professional		$2,029.93	$2,029.93	$2,780.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,115.11 / $4,005.14 / $5,340.18	Professional		$3,115.11	$4,005.14	$5,340.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,433.28 / $2,736.92 / $5,065.71	Facility		$1,433.28	$2,736.92	$5,065.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,502.00 / $5,845.29 / $7,412.51	Professional		$2,502.00	$5,845.29	$7,412.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,438.11 / $3,344.31 / $5,311.17	Facility		$2,438.11	$3,344.31	$5,311.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,438.11 / $3,344.31 / $5,311.17	Professional		$2,438.11	$3,344.31	$5,311.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,069.11 / $2,220.13 / $3,421.15	Professional		$2,069.11	$2,220.13	$3,421.15