Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,037.91 / $2,037.91 / $2,059.61	Facility		$2,037.91	$2,037.91	$2,059.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.47 / $2,037.91 / $2,100.32	Professional		$1,711.47	$2,037.91	$2,100.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,864.06 / $3,864.06 / $4,103.63	Facility		$3,864.06	$3,864.06	$4,103.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,072.57 / $2,072.57 / $2,662.77	Professional		$2,072.57	$2,072.57	$2,662.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,072.00 / $2,165.44 / $2,641.45	Professional		$2,072.00	$2,165.44	$2,641.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $2,782.58	Facility		$2,782.58	$2,782.58	$2,782.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $2,581.86	Professional		$2,031.28	$2,031.28	$2,581.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,704.84 / $3,477.65 / $4,636.87	Professional		$2,704.84	$3,477.65	$4,636.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,092.64 / $2,376.46 / $4,335.54	Facility		$1,092.64	$2,376.46	$4,335.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,970.00 / $5,075.47 / $6,436.29	Professional		$1,970.00	$5,075.47	$6,436.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,117.00 / $2,916.17 / $4,611.68	Facility		$2,117.00	$2,916.17	$4,611.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,117.00 / $2,916.17 / $4,611.68	Professional		$2,117.00	$2,916.17	$4,611.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,742.32 / $1,927.73 / $2,765.59	Professional		$1,742.32	$1,927.73	$2,765.59