Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.64 / $2,145.08 / $2,145.08	Facility		$2,126.64	$2,145.08	$2,145.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,852.44 / $2,145.08 / $2,145.08	Professional		$1,852.44	$2,145.08	$2,145.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,067.25 / $4,067.25 / $4,319.42	Facility		$4,067.25	$4,067.25	$4,319.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,199.78 / $2,199.78 / $2,812.83	Professional		$2,199.78	$2,199.78	$2,812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,136.86 / $2,136.86 / $2,780.34	Professional		$2,136.86	$2,136.86	$2,780.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,732.53 / $3,214.74	Professional		$2,732.53	$2,732.53	$3,214.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,847.08 / $3,660.53 / $4,880.70	Professional		$2,847.08	$3,660.53	$4,880.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,165.07 / $2,501.42 / $4,544.47	Facility		$1,165.07	$2,501.42	$4,544.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,223.00 / $5,342.35 / $6,774.72	Professional		$2,223.00	$5,342.35	$6,774.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,130.53 / $2,704.71 / $4,096.67	Facility		$1,130.53	$2,704.71	$4,096.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,219.91 / $2,788.59 / $4,312.31	Professional		$1,219.91	$2,788.59	$4,312.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,833.94 / $2,029.11 / $2,911.01	Professional		$1,833.94	$2,029.11	$2,911.01