Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.05 / $1,536.05 / $1,552.40	Facility		$1,536.05	$1,536.05	$1,552.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.05 / $1,536.05 / $1,749.25	Professional		$1,536.05	$1,536.05	$1,749.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,912.48 / $2,912.48 / $3,093.05	Facility		$2,912.48	$2,912.48	$3,093.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.19 / $1,760.19 / $2,274.69	Professional		$1,760.19	$1,760.19	$2,274.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,562.00 / $1,562.00 / $1,990.95	Professional		$1,562.00	$1,562.00	$1,990.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,556.83 / $1,819.89 / $1,819.89	Facility		$1,556.83	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $1,819.89	Professional		$1,328.52	$1,328.52	$1,819.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,038.74 / $2,621.23 / $3,494.98	Professional		$2,038.74	$2,621.23	$3,494.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $938.03 / $1,847.36 / $3,315.35	Facility		$938.03	$1,847.36	$3,315.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $3,825.57 / $4,851.26	Professional		$1,638.00	$3,825.57	$4,851.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,595.66 / $2,188.75 / $3,475.99	Facility		$1,595.66	$2,188.75	$3,475.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,595.66 / $2,188.75 / $3,475.99	Professional		$1,595.66	$2,188.75	$3,475.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.42 / $1,453.01 / $2,239.04	Professional		$1,343.42	$1,453.01	$2,239.04