Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.91 / $1,961.91 / $1,982.80	Facility		$1,961.91	$1,961.91	$1,982.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,811.76 / $1,961.91 / $2,176.63	Professional		$1,811.76	$1,961.91	$2,176.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.97 / $3,719.97 / $3,950.61	Facility		$3,719.97	$3,719.97	$3,950.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,649.75 / $3,053.24 / $3,836.00	Professional		$2,649.75	$3,053.24	$3,836.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,306.15 / $2,306.15 / $2,542.94	Professional		$2,306.15	$2,306.15	$2,542.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $2,381.07	Professional		$1,738.18	$1,738.18	$2,381.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,603.98 / $3,347.97 / $4,463.96	Professional		$2,603.98	$3,347.97	$4,463.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,961.91 / $2,494.36 / $3,831.86	Facility		$1,961.91	$2,494.36	$3,831.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $4,886.18 / $6,196.26	Professional		$231.00	$4,886.18	$6,196.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $274.93 / $2,789.34 / $4,256.85	Facility		$274.93	$2,789.34	$4,256.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $274.93 / $2,789.34 / $4,256.85	Professional		$274.93	$2,789.34	$4,256.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,715.89 / $1,855.85 / $2,859.81	Professional		$1,715.89	$1,855.85	$2,859.81