Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.44 / $1,939.44 / $1,960.09	Facility		$1,939.44	$1,939.44	$1,960.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.77 / $1,939.44 / $2,371.27	Professional		$1,812.77	$1,939.44	$2,371.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,677.35 / $3,677.35 / $3,905.35	Facility		$3,677.35	$3,677.35	$3,905.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,225.15 / $2,225.15 / $2,847.63	Professional		$2,225.15	$2,225.15	$2,847.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,972.00 / $1,972.00 / $2,513.81	Professional		$1,972.00	$1,972.00	$2,513.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,141.52	Facility		$3,141.52	$3,141.52	$3,141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $3,141.52	Professional		$2,293.31	$2,293.31	$3,141.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,574.15 / $3,309.62 / $4,412.82	Professional		$2,574.15	$3,309.62	$4,412.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,173.07 / $2,261.64 / $4,202.72	Facility		$1,173.07	$2,261.64	$4,202.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,171.00 / $4,830.22 / $6,125.28	Professional		$2,171.00	$4,830.22	$6,125.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,014.72 / $2,763.55 / $4,388.85	Facility		$2,014.72	$2,763.55	$4,388.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,014.72 / $2,763.55 / $4,388.85	Professional		$2,014.72	$2,763.55	$4,388.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,739.23 / $1,834.59 / $2,800.07	Professional		$1,739.23	$1,834.59	$2,800.07