Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.54 / $2,540.54 / $2,567.59	Facility		$2,540.54	$2,540.54	$2,567.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,346.09 / $2,540.54 / $2,648.01	Professional		$2,346.09	$2,540.54	$2,648.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,817.09 / $4,817.09 / $5,115.75	Facility		$4,817.09	$4,817.09	$5,115.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,965.25 / $2,965.25 / $3,706.85	Professional		$2,965.25	$2,965.25	$3,706.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,689.20 / $2,699.53 / $3,292.93	Professional		$2,689.20	$2,699.53	$3,292.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $2,801.20	Professional		$2,044.88	$2,044.88	$2,801.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,371.96 / $4,335.38 / $5,780.51	Professional		$3,371.96	$4,335.38	$5,780.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $2,962.59 / $5,404.85	Facility		$1,420.00	$2,962.59	$5,404.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,776.00 / $6,327.27 / $8,023.72	Professional		$2,776.00	$6,327.27	$8,023.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,639.14 / $3,635.41 / $5,749.10	Facility		$2,639.14	$3,635.41	$5,749.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,639.14 / $3,635.41 / $5,749.10	Professional		$2,639.14	$3,635.41	$5,749.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,172.04 / $2,403.19 / $3,488.48	Professional		$2,172.04	$2,403.19	$3,488.48