Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,479.44 / $2,479.44 / $2,505.85	Facility		$2,479.44	$2,479.44	$2,505.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,222.96 / $2,479.44 / $2,866.84	Professional		$2,222.96	$2,479.44	$2,866.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,701.26 / $4,701.26 / $4,992.74	Facility		$4,701.26	$4,701.26	$4,992.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,872.13 / $2,872.13 / $3,698.99	Professional		$2,872.13	$2,872.13	$3,698.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,521.00 / $2,521.00 / $3,213.75	Professional		$2,521.00	$2,521.00	$3,213.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $3,798.08	Professional		$2,772.60	$2,772.60	$3,798.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,290.88 / $4,231.13 / $5,641.51	Professional		$3,290.88	$4,231.13	$5,641.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,514.15 / $2,891.36 / $5,351.57	Facility		$1,514.15	$2,891.36	$5,351.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,643.00 / $6,175.13 / $7,830.78	Professional		$2,643.00	$6,175.13	$7,830.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,575.69 / $3,533.03 / $5,610.86	Facility		$2,575.69	$3,533.03	$5,610.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,575.69 / $3,533.03 / $5,610.86	Professional		$2,575.69	$3,533.03	$5,610.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,185.87 / $2,345.41 / $3,614.20	Professional		$2,185.87	$2,345.41	$3,614.20