Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.85 / $1,699.85 / $1,717.95	Facility		$1,699.85	$1,699.85	$1,717.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.45 / $1,699.85 / $1,935.78	Professional		$1,580.45	$1,699.85	$1,935.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,223.06 / $3,223.06 / $3,422.89	Facility		$3,223.06	$3,223.06	$3,422.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,947.88 / $1,947.88 / $2,520.86	Professional		$1,947.88	$1,947.88	$2,520.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,728.00 / $1,806.23 / $2,203.26	Professional		$1,728.00	$1,806.23	$2,203.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $2,561.34	Facility		$2,561.34	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $2,561.34	Professional		$1,869.78	$1,869.78	$2,561.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,256.14 / $2,900.75 / $3,867.67	Professional		$2,256.14	$2,900.75	$3,867.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.06 / $2,044.36 / $3,668.90	Facility		$1,038.06	$2,044.36	$3,668.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,929.00 / $4,233.51 / $5,368.58	Professional		$1,929.00	$4,233.51	$5,368.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,765.82 / $2,432.42 / $3,846.66	Facility		$1,765.82	$2,432.42	$3,846.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,765.82 / $2,432.42 / $3,846.66	Professional		$1,765.82	$2,432.42	$3,846.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,453.29 / $1,607.95 / $2,477.80	Professional		$1,453.29	$1,607.95	$2,477.80