Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.39 / $1,789.39 / $1,789.39	Facility		$1,789.39	$1,789.39	$1,789.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.55 / $1,789.39 / $2,045.38	Professional		$1,430.55	$1,789.39	$2,045.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,895.22 / $2,895.22 / $2,895.22	Facility		$2,895.22	$2,895.22	$2,895.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,715.58 / $1,715.58 / $1,715.58	Professional		$1,715.58	$1,715.58	$1,715.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,742.83 / $1,742.83 / $1,943.71	Professional		$1,742.83	$1,742.83	$1,943.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $2,345.16	Professional		$1,518.77	$1,786.79	$2,345.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,026.65 / $2,416.86 / $3,184.74	Professional		$2,026.65	$2,416.86	$3,184.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $865.13 / $1,549.12 / $2,843.37	Facility		$865.13	$1,549.12	$2,843.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,730.00 / $1,730.00 / $1,730.00	Professional		$1,730.00	$1,730.00	$1,730.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $289.48 / $2,385.85	Facility		$190.85	$289.48	$2,385.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $331.27 / $2,385.85	Professional		$190.85	$331.27	$2,385.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.51 / $1,431.51 / $2,136.81	Professional		$1,153.51	$1,431.51	$2,136.81