Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,951.62 / $1,951.62 / $1,972.40	Facility		$1,951.62	$1,951.62	$1,972.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.73 / $1,951.62 / $2,222.50	Professional		$1,749.73	$1,951.62	$2,222.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,700.45 / $3,700.45 / $3,929.88	Facility		$3,700.45	$3,700.45	$3,929.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,260.71 / $2,260.71 / $2,940.18	Professional		$2,260.71	$2,260.71	$2,940.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,984.00 / $1,984.00 / $2,529.60	Professional		$1,984.00	$1,984.00	$2,529.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $2,717.61	Facility		$2,717.61	$2,717.61	$2,717.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $2,717.61	Professional		$1,983.86	$1,983.86	$2,717.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,590.32 / $3,330.41 / $4,440.54	Professional		$2,590.32	$3,330.41	$4,440.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,191.82 / $2,344.26 / $4,212.31	Facility		$1,191.82	$2,344.26	$4,212.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,092.00 / $4,860.55 / $6,163.75	Professional		$2,092.00	$4,860.55	$6,163.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,027.36 / $2,792.70 / $4,416.41	Facility		$2,027.36	$2,792.70	$4,416.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,027.36 / $2,792.70 / $4,416.41	Professional		$2,027.36	$2,792.70	$4,416.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,729.97 / $1,846.11 / $2,844.80	Professional		$1,729.97	$1,846.11	$2,844.80