Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,707.11 / $1,748.25 / $1,748.25	Professional		$1,707.11	$1,748.25	$1,748.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.34 / $1,692.94 / $2,727.96	Facility		$802.34	$1,692.94	$2,727.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $2,023.19	Professional		$1,645.41	$1,645.41	$2,023.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,645.41	Professional		$1,645.41	$1,645.41	$1,645.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,660.83 / $1,953.92 / $2,219.96	Professional		$1,660.83	$1,953.92	$2,219.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $2,056.76 / $2,884.61	Facility		$1,748.25	$2,056.76	$2,884.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,281.62 / $2,748.00 / $3,771.79	Professional		$2,281.62	$2,748.00	$3,771.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,628.27 / $1,953.92 / $2,519.54	Facility		$1,628.27	$1,953.92	$2,519.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,628.27 / $1,953.92 / $2,519.54	Professional		$1,628.27	$1,953.92	$2,519.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,056.76	Professional		$1,713.97	$1,713.97	$2,056.76