Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.91 / $1,726.91 / $1,745.28	Facility		$1,726.91	$1,726.91	$1,745.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.60 / $1,726.91 / $1,966.59	Professional		$1,605.60	$1,726.91	$1,966.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,274.36 / $3,274.36 / $3,477.37	Facility		$3,274.36	$3,274.36	$3,477.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.39 / $2,000.39 / $2,615.62	Professional		$2,000.39	$2,000.39	$2,615.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,756.00 / $1,756.00 / $2,238.33	Professional		$1,756.00	$1,756.00	$2,238.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $2,187.84	Professional		$1,967.06	$1,967.06	$2,187.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,292.05 / $2,946.92 / $3,929.23	Professional		$2,292.05	$2,946.92	$3,929.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,054.58 / $2,104.83 / $3,727.28	Facility		$1,054.58	$2,104.83	$3,727.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,841.00 / $4,300.88 / $5,454.02	Professional		$1,841.00	$4,300.88	$5,454.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,793.93 / $2,460.69 / $3,907.89	Facility		$1,793.93	$2,460.69	$3,907.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,793.93 / $2,460.69 / $3,907.89	Professional		$1,793.93	$2,460.69	$3,907.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.42 / $1,633.54 / $2,517.23	Professional		$1,476.42	$1,633.54	$2,517.23