Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.45 / $1,841.45 / $1,861.06	Facility		$1,841.45	$1,841.45	$1,861.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,780.01 / $1,841.45 / $2,096.98	Professional		$1,780.01	$1,841.45	$2,096.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,491.57 / $3,491.57 / $3,708.05	Facility		$3,491.57	$3,491.57	$3,708.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,067.19 / $2,067.19 / $2,584.19	Professional		$2,067.19	$2,067.19	$2,584.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,872.00 / $1,872.00 / $2,386.82	Professional		$1,872.00	$1,872.00	$2,386.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $2,375.33	Facility		$2,375.33	$2,375.33	$2,375.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $2,375.33	Professional		$1,733.99	$1,733.99	$2,375.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,444.10 / $3,142.41 / $4,189.88	Professional		$2,444.10	$3,142.41	$4,189.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,089.80 / $2,147.37 / $3,901.22	Facility		$1,089.80	$2,147.37	$3,901.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,903.00 / $4,586.20 / $5,815.83	Professional		$1,903.00	$4,586.20	$5,815.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,912.92 / $2,635.04 / $4,167.10	Facility		$1,912.92	$2,635.04	$4,167.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,912.92 / $2,635.04 / $4,167.10	Professional		$1,912.92	$2,635.04	$4,167.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,511.59 / $4,511.59 / $5,413.91	Facility		$4,511.59	$4,511.59	$5,413.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,574.35 / $1,741.90 / $2,601.29	Professional		$1,574.35	$1,741.90	$2,601.29