Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.68 / $1,638.68 / $1,656.13	Facility		$1,638.68	$1,638.68	$1,656.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,485.97 / $1,638.68 / $1,871.80	Professional		$1,485.97	$1,638.68	$1,871.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,107.08 / $3,107.08 / $3,299.72	Facility		$3,107.08	$3,107.08	$3,299.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,898.20 / $1,898.20 / $2,437.79	Professional		$1,898.20	$1,898.20	$2,437.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,666.00 / $1,666.00 / $2,123.98	Professional		$1,666.00	$1,666.00	$2,123.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $2,479.82	Professional		$1,810.27	$1,810.27	$2,479.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,174.96 / $2,796.37 / $3,728.50	Professional		$2,174.96	$2,796.37	$3,728.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,970.79 / $3,536.87	Facility		$1,000.71	$1,970.79	$3,536.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,747.00 / $4,081.17 / $5,175.39	Professional		$1,747.00	$4,081.17	$5,175.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,702.28 / $2,344.89 / $3,708.24	Facility		$1,702.28	$2,344.89	$3,708.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,702.28 / $2,344.89 / $3,708.24	Professional		$1,702.28	$2,344.89	$3,708.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,444.65 / $1,550.09 / $2,388.64	Professional		$1,444.65	$1,550.09	$2,388.64