Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.23 / $1,764.23 / $1,783.01	Facility		$1,764.23	$1,764.23	$1,783.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.18 / $1,764.23 / $1,838.86	Professional		$1,629.18	$1,764.23	$1,838.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,345.13 / $3,345.13 / $3,552.53	Facility		$3,345.13	$3,345.13	$3,552.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,838.86 / $1,838.86 / $2,382.13	Professional		$1,838.86	$1,838.86	$2,382.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,867.46 / $1,867.46 / $2,286.71	Professional		$1,867.46	$1,867.46	$2,286.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $2,217.07	Facility		$2,217.07	$2,217.07	$2,217.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,618.46 / $2,217.07	Professional		$1,618.46	$1,618.46	$2,217.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,341.59 / $3,010.62 / $4,014.16	Professional		$2,341.59	$3,010.62	$4,014.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $986.09 / $2,057.32 / $3,753.30	Facility		$986.09	$2,057.32	$3,753.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $4,393.85 / $5,571.91	Professional		$1,928.00	$4,393.85	$5,571.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,832.70 / $2,524.54 / $4,071.00	Facility		$1,832.70	$2,524.54	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,832.70 / $2,524.54 / $4,071.00	Professional		$1,832.70	$2,524.54	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,176.86 / $2,018.42 / $2,301.38	Facility		$1,176.86	$2,018.42	$2,301.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,508.33 / $1,668.85 / $2,422.51	Professional		$1,508.33	$1,668.85	$2,422.51