Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.22 / $1,953.22 / $1,974.01	Facility		$1,953.22	$1,953.22	$1,974.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.51 / $1,953.22 / $2,224.32	Professional		$1,765.51	$1,953.22	$2,224.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,703.47 / $3,703.47 / $3,933.09	Facility		$3,703.47	$3,703.47	$3,933.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,262.55 / $2,262.55 / $2,897.25	Professional		$2,262.55	$2,262.55	$2,897.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,986.00 / $1,986.00 / $2,531.67	Professional		$1,986.00	$1,986.00	$2,531.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $2,970.85	Facility		$2,970.85	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $2,970.85	Professional		$2,168.71	$2,168.71	$2,970.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,592.42 / $3,333.12 / $4,444.16	Professional		$2,592.42	$3,333.12	$4,444.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,192.80 / $2,349.07 / $4,258.99	Facility		$1,192.80	$2,349.07	$4,258.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,189.00 / $4,864.53 / $6,168.79	Professional		$2,189.00	$4,864.53	$6,168.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,029.03 / $2,783.19 / $4,420.02	Facility		$2,029.03	$2,783.19	$4,420.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,029.03 / $2,783.19 / $4,420.02	Professional		$2,029.03	$2,783.19	$4,420.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,690.63 / $1,847.62 / $2,847.13	Professional		$1,690.63	$1,847.62	$2,847.13