Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.43 / $2,021.43 / $2,042.95	Facility		$2,021.43	$2,021.43	$2,042.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,866.72 / $2,021.43 / $2,106.94	Professional		$1,866.72	$2,021.43	$2,106.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,832.80 / $3,832.80 / $4,070.43	Facility		$3,832.80	$3,832.80	$4,070.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,143.16 / $2,143.16 / $2,729.41	Professional		$2,143.16	$2,143.16	$2,729.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,304.88 / $2,304.88 / $2,304.88	Professional		$2,304.88	$2,304.88	$2,304.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,540.30	Professional		$1,854.42	$1,854.42	$2,540.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,682.96 / $3,449.52 / $4,599.35	Professional		$2,682.96	$3,449.52	$4,599.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,129.84 / $2,357.25 / $4,300.47	Facility		$1,129.84	$2,357.25	$4,300.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,209.00 / $5,034.41 / $6,384.21	Professional		$2,209.00	$5,034.41	$6,384.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,099.88 / $2,892.59 / $4,574.37	Facility		$2,099.88	$2,892.59	$4,574.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,099.88 / $2,892.59 / $4,574.37	Professional		$2,099.88	$2,892.59	$4,574.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,750.12 / $1,912.15 / $2,743.22	Professional		$1,750.12	$1,912.15	$2,743.22