Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.36 / $1,513.36 / $1,529.47	Facility		$1,513.36	$1,513.36	$1,529.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,407.05 / $1,513.36 / $1,675.42	Professional		$1,407.05	$1,513.36	$1,675.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,869.45 / $2,869.45 / $3,047.36	Facility		$2,869.45	$2,869.45	$3,047.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.36 / $1,696.36 / $2,181.66	Professional		$1,696.36	$1,696.36	$2,181.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,539.00 / $1,539.00 / $1,539.00	Professional		$1,539.00	$1,539.00	$1,539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.84 / $1,743.07 / $1,743.07	Facility		$1,533.84	$1,743.07	$1,743.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $1,743.07	Professional		$1,272.44	$1,272.44	$1,743.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,008.62 / $2,582.51 / $3,443.34	Professional		$2,008.62	$2,582.51	$3,443.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $898.44 / $1,820.07 / $3,266.37	Facility		$898.44	$1,820.07	$3,266.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $3,769.04 / $4,779.58	Professional		$1,624.00	$3,769.04	$4,779.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,572.10 / $2,156.42 / $3,424.63	Facility		$1,572.10	$2,156.42	$3,424.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,572.10 / $2,156.42 / $3,424.63	Professional		$1,572.10	$2,156.42	$3,424.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.17 / $1,431.54 / $2,144.53	Professional		$1,334.17	$1,431.54	$2,144.53