Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,347.87 / $2,347.87 / $2,372.87	Facility		$2,347.87	$2,347.87	$2,372.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,182.94 / $2,347.87 / $2,576.36	Professional		$2,182.94	$2,347.87	$2,576.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,451.78 / $4,451.78 / $4,727.79	Facility		$4,451.78	$4,451.78	$4,727.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,578.42 / $2,578.42 / $3,223.28	Professional		$2,578.42	$2,578.42	$3,223.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,481.96 / $2,481.96 / $3,043.21	Professional		$2,481.96	$2,481.96	$3,043.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $2,741.63	Professional		$2,001.39	$2,001.39	$2,741.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,116.25 / $4,006.60 / $5,342.14	Professional		$3,116.25	$4,006.60	$5,342.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $2,737.92 / $4,974.12	Facility		$1,357.23	$2,737.92	$4,974.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,083.61 / $5,847.43 / $7,415.22	Professional		$3,083.61	$5,847.43	$7,415.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,439.00 / $3,359.71 / $5,313.10	Facility		$2,439.00	$3,359.71	$5,313.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,439.00 / $3,359.71 / $5,313.10	Professional		$2,439.00	$3,359.71	$5,313.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,069.87 / $2,220.94 / $3,239.62	Professional		$2,069.87	$2,220.94	$3,239.62