Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,193.38 / $2,360.53	Facility		$1,092.83	$1,193.38	$2,360.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,092.83 / $1,092.83	Professional		$1,028.55	$1,092.83	$1,092.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.69 / $2,350.88 / $3,713.71	Facility		$1,135.69	$2,350.88	$3,713.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,028.55 / $1,398.10	Professional		$1,028.55	$1,028.55	$1,398.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,135.69 / $1,135.69	Professional		$1,135.69	$1,135.69	$1,135.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $521.60 / $839.10	Professional		$417.28	$521.60	$839.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $494.33 / $1,124.98 / $1,748.54	Facility		$494.33	$1,124.98	$1,748.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $947.00 / $1,556.00	Professional		$369.00	$947.00	$1,556.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.41 / $1,232.11 / $1,607.12	Facility		$1,071.41	$1,232.11	$1,607.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,232.11 / $1,607.12	Professional		$1,071.41	$1,232.11	$1,607.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,135.69 / $1,205.19	Professional		$1,071.41	$1,135.69	$1,205.19