Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,928.79 / $2,928.79 / $2,959.98	Facility		$2,928.79	$2,928.79	$2,959.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,483.98 / $2,928.79 / $3,155.15	Professional		$2,483.98	$2,928.79	$3,155.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,553.25 / $5,553.25 / $5,897.55	Facility		$5,553.25	$5,553.25	$5,897.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,194.59 / $3,194.59 / $4,131.14	Professional		$3,194.59	$3,194.59	$4,131.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,978.00 / $2,978.00 / $3,796.17	Professional		$2,978.00	$2,978.00	$3,796.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $3,943.38	Professional		$2,878.67	$2,878.67	$3,943.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,887.28 / $4,997.93 / $6,663.90	Professional		$3,887.28	$4,997.93	$6,663.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,691.96 / $3,415.35 / $6,230.83	Facility		$1,691.96	$3,415.35	$6,230.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,954.00 / $7,294.22 / $9,249.92	Professional		$2,954.00	$7,294.22	$9,249.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,042.46 / $4,173.30 / $6,627.69	Facility		$3,042.46	$4,173.30	$6,627.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,042.46 / $4,173.30 / $6,627.69	Professional		$3,042.46	$4,173.30	$6,627.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,580.55 / $2,770.46 / $4,038.60	Professional		$2,580.55	$2,770.46	$4,038.60