Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,676.93 / $2,676.93 / $2,705.43	Facility		$2,676.93	$2,676.93	$2,705.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,127.77 / $2,676.93 / $2,859.85	Professional		$2,127.77	$2,676.93	$2,859.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,075.70 / $5,075.70 / $5,390.39	Facility		$5,075.70	$5,075.70	$5,390.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,246.42 / $3,443.26 / $4,988.82	Professional		$3,246.42	$3,443.26	$4,988.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,225.76 / $3,225.76 / $3,469.72	Professional		$3,225.76	$3,225.76	$3,469.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $3,323.97	Facility		$3,323.97	$3,323.97	$3,323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $3,323.97	Professional		$2,426.50	$2,426.50	$3,323.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,552.99 / $4,568.13 / $6,090.84	Professional		$3,552.99	$4,568.13	$6,090.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,705.43 / $3,346.17 / $5,403.15	Facility		$2,705.43	$3,346.17	$5,403.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,044.18 / $6,666.96 / $8,454.48	Professional		$4,044.18	$6,666.96	$8,454.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,927.90 / $4,032.20 / $5,808.24	Facility		$2,927.90	$4,032.20	$5,808.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,927.90 / $4,032.20 / $5,808.24	Professional		$2,927.90	$4,032.20	$5,808.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,405.60 / $2,532.21 / $4,032.20	Professional		$2,405.60	$2,532.21	$4,032.20