Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.97 / $1,305.89 / $1,305.89	Facility		$1,080.97	$1,305.89	$1,305.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.97 / $1,305.89 / $1,446.77	Professional		$1,080.97	$1,305.89	$1,446.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,641.15 / $2,641.15 / $2,804.90	Facility		$2,641.15	$2,641.15	$2,804.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.13 / $1,482.13 / $1,885.52	Professional		$1,482.13	$1,482.13	$1,885.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,416.00 / $1,416.00 / $1,805.48	Professional		$1,416.00	$1,416.00	$1,805.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $1,638.80	Professional		$1,196.32	$1,196.32	$1,638.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,848.81 / $2,377.04 / $3,169.38	Professional		$1,848.81	$2,377.04	$3,169.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $1,624.36 / $2,963.40	Facility		$783.77	$1,624.36	$2,963.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,376.00 / $3,301.44 / $4,399.31	Professional		$1,376.00	$3,301.44	$4,399.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,447.01 / $1,993.26 / $3,152.17	Facility		$1,447.01	$1,993.26	$3,152.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,447.01 / $1,993.26 / $3,152.17	Professional		$1,447.01	$1,993.26	$3,152.17
United Facility/Professional Facility Modifier Low / Median / High Price $822.96 / $1,188.73 / $1,376.73	Facility		$822.96	$1,188.73	$1,376.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.34 / $1,317.65 / $1,979.77	Professional		$1,102.34	$1,317.65	$1,979.77