Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.48 / $1,596.48 / $1,596.48	Facility		$1,596.48	$1,596.48	$1,596.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.36 / $1,596.48 / $1,966.91	Professional		$728.36	$1,596.48	$1,966.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,583.10 / $2,583.10 / $2,583.10	Facility		$2,583.10	$2,583.10	$2,583.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,901.61 / $1,901.61 / $1,901.61	Professional		$1,901.61	$1,901.61	$1,901.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,583.30 / $1,583.30 / $1,765.79	Professional		$1,583.30	$1,583.30	$1,765.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,916.91	Facility		$1,460.50	$1,460.50	$1,916.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $1,916.91	Professional		$1,241.43	$1,460.50	$1,916.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,808.17 / $2,195.64 / $2,841.41	Professional		$1,808.17	$2,195.64	$2,841.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.15 / $1,415.20 / $2,583.10	Facility		$707.15	$1,415.20	$2,583.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,664.00 / $1,664.00 / $1,664.00	Professional		$1,664.00	$1,664.00	$1,664.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $170.27 / $258.27 / $2,128.64	Facility		$170.27	$258.27	$2,128.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $295.56 / $2,128.64	Professional		$170.27	$295.56	$2,128.64
United Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,288.68 / $1,687.93	Professional		$942.87	$1,288.68	$1,687.93