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 $1,040.32 / $2,195.08 / $3,537.09	Facility		$1,040.32	$2,195.08	$3,537.09
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 / $2,235.02 / $2,629.44	Professional		$1,660.83	$2,235.02	$2,629.44
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 $2,432.60 / $2,930.00 / $4,218.31	Professional		$2,432.60	$2,930.00	$4,218.31
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