Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.33 / $1,454.93 / $1,454.93	Facility		$1,204.33	$1,454.93	$1,454.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.33 / $1,454.93 / $1,839.19	Professional		$1,204.33	$1,454.93	$1,839.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,942.58 / $2,942.58 / $3,125.02	Facility		$2,942.58	$2,942.58	$3,125.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.05 / $1,718.05 / $2,245.17	Professional		$1,718.05	$1,718.05	$2,245.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,578.00 / $1,578.00 / $2,011.53	Professional		$1,578.00	$1,578.00	$2,011.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,815.81	Professional		$1,325.54	$1,325.54	$1,815.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,059.81 / $2,648.32 / $3,531.10	Professional		$2,059.81	$2,648.32	$3,531.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $935.93 / $1,809.74 / $3,349.61	Facility		$935.93	$1,809.74	$3,349.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,701.00 / $3,678.23 / $4,901.38	Professional		$1,701.00	$3,678.23	$4,901.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,612.15 / $2,220.73 / $3,511.90	Facility		$1,612.15	$2,220.73	$3,511.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,612.15 / $2,220.73 / $3,511.90	Professional		$1,612.15	$2,220.73	$3,511.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.35 / $1,468.02 / $2,211.36	Professional		$1,316.35	$1,468.02	$2,211.36