Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.12 / $1,927.12 / $1,947.64	Facility		$1,927.12	$1,927.12	$1,947.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.63 / $1,927.12 / $2,008.64	Professional		$1,779.63	$1,927.12	$2,008.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,653.99 / $3,653.99 / $3,880.54	Facility		$3,653.99	$3,653.99	$3,880.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,249.31 / $2,249.31 / $2,811.86	Professional		$2,249.31	$2,249.31	$2,811.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,039.87 / $2,039.87 / $2,497.85	Professional		$2,039.87	$2,039.87	$2,497.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $2,264.80	Facility		$2,264.80	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $2,264.80	Professional		$1,653.30	$1,653.30	$2,264.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,557.79 / $3,288.59 / $4,384.79	Professional		$2,557.79	$3,288.59	$4,384.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,077.14 / $2,247.26 / $4,099.82	Facility		$1,077.14	$2,247.26	$4,099.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $4,799.53 / $6,086.36	Professional		$2,106.00	$4,799.53	$6,086.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,001.90 / $2,757.62 / $4,360.96	Facility		$2,001.90	$2,757.62	$4,360.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,001.90 / $2,757.62 / $4,360.96	Professional		$2,001.90	$2,757.62	$4,360.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,668.47 / $1,822.93 / $2,615.21	Professional		$1,668.47	$1,822.93	$2,615.21