Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.31 / $1,716.05 / $1,716.05	Facility		$1,701.31	$1,716.05	$1,716.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.94 / $1,716.05 / $1,716.05	Professional		$1,481.94	$1,716.05	$1,716.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,253.77 / $3,253.77 / $3,455.50	Facility		$3,253.77	$3,253.77	$3,455.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,738.10 / $1,738.10 / $2,250.26	Professional		$1,738.10	$1,738.10	$2,250.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,709.47 / $1,709.47 / $2,224.26	Professional		$1,709.47	$1,709.47	$2,224.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $1,808.29	Facility		$1,808.29	$1,808.29	$1,808.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $1,808.29	Professional		$1,537.05	$1,537.05	$1,808.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,277.64 / $2,928.39 / $3,904.52	Professional		$2,277.64	$2,928.39	$3,904.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $932.06 / $2,001.14 / $3,635.59	Facility		$932.06	$2,001.14	$3,635.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.00 / $4,273.85 / $5,419.73	Professional		$1,778.00	$4,273.85	$5,419.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $904.43 / $2,163.78 / $3,277.37	Facility		$904.43	$2,163.78	$3,277.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $975.91 / $2,230.86 / $3,508.34	Professional		$975.91	$2,230.86	$3,508.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,467.15 / $1,623.28 / $2,328.81	Professional		$1,467.15	$1,623.28	$2,328.81