Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,780.09 / $5,499.08	Facility		$2,545.87	$2,780.09	$5,499.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,545.87 / $2,545.87	Professional		$2,396.11	$2,545.87	$2,545.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.95 / $718.19 / $1,134.53	Facility		$346.95	$718.19	$1,134.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,396.11 / $3,211.74	Professional		$2,396.11	$2,396.11	$3,211.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,396.11 / $2,396.11	Professional		$2,396.11	$2,396.11	$2,396.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.71 / $263.39 / $437.57	Professional		$210.71	$263.39	$437.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $305.89 / $2,545.87 / $3,877.36	Facility		$305.89	$2,545.87	$3,877.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.48 / $390.00 / $520.41	Professional		$306.48	$390.00	$520.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,495.94 / $2,870.34 / $3,743.93	Facility		$2,495.94	$2,870.34	$3,743.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,870.34 / $3,743.93	Professional		$2,495.94	$2,870.34	$3,743.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,645.71 / $2,821.67	Professional		$2,495.94	$2,645.71	$2,821.67