Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.12 / $1,864.12 / $1,883.96	Facility		$1,864.12	$1,864.12	$1,883.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.48 / $1,864.12 / $1,896.54	Professional		$1,678.48	$1,864.12	$1,896.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.53 / $3,534.53 / $3,753.67	Facility		$3,534.53	$3,534.53	$3,753.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.14 / $1,929.14 / $2,455.63	Professional		$1,929.14	$1,929.14	$2,455.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,895.00 / $1,980.77 / $2,416.17	Professional		$1,895.00	$1,980.77	$2,416.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,425.11	Professional		$1,770.33	$1,770.33	$2,425.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,474.17 / $3,181.08 / $4,241.43	Professional		$2,474.17	$3,181.08	$4,241.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $2,173.79 / $3,965.77	Facility		$1,017.02	$2,173.79	$3,965.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,871.00 / $4,642.62 / $5,887.39	Professional		$1,871.00	$4,642.62	$5,887.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,936.46 / $2,667.48 / $4,218.39	Facility		$1,936.46	$2,667.48	$4,218.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,936.46 / $2,667.48 / $4,218.39	Professional		$1,936.46	$2,667.48	$4,218.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,593.73 / $1,763.34 / $2,529.71	Professional		$1,593.73	$1,763.34	$2,529.71