Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.46 / $1,254.46 / $1,267.82	Facility		$1,254.46	$1,254.46	$1,267.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.34 / $1,254.46 / $1,478.83	Professional		$1,166.34	$1,254.46	$1,478.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,378.58 / $2,378.58 / $2,526.05	Facility		$2,378.58	$2,378.58	$2,526.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,556.88 / $1,556.88 / $1,946.25	Professional		$1,556.88	$1,556.88	$1,946.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,625.98	Professional		$1,275.00	$1,275.00	$1,625.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.44 / $1,486.28 / $1,486.28	Facility		$1,271.44	$1,486.28	$1,486.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,084.98 / $1,486.28	Professional		$1,084.98	$1,084.98	$1,486.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.01 / $2,140.71 / $2,854.30	Professional		$1,665.01	$2,140.71	$2,854.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $766.08 / $1,508.71 / $2,707.60	Facility		$766.08	$1,508.71	$2,707.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,465.00 / $3,124.28 / $3,961.95	Professional		$1,465.00	$3,124.28	$3,961.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,303.16 / $1,795.09 / $2,838.79	Facility		$1,303.16	$1,795.09	$2,838.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,303.16 / $1,795.09 / $2,838.79	Professional		$1,303.16	$1,795.09	$2,838.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.51 / $1,186.65 / $1,828.59	Professional		$1,112.51	$1,186.65	$1,828.59