Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.41 / $1,453.41 / $1,468.88	Facility		$1,453.41	$1,453.41	$1,468.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.93 / $1,453.41 / $1,847.09	Professional		$1,413.93	$1,453.41	$1,847.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,755.79 / $2,755.79 / $2,926.65	Facility		$2,755.79	$2,755.79	$2,926.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,972.92 / $1,972.92 / $2,466.34	Professional		$1,972.92	$1,972.92	$2,466.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,538.46 / $1,538.46 / $1,883.84	Professional		$1,538.46	$1,538.46	$1,883.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.08 / $1,721.98 / $1,721.98	Facility		$1,473.08	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,257.05 / $1,721.98	Professional		$1,257.05	$1,257.05	$1,721.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,929.05 / $2,480.21 / $3,306.95	Professional		$1,929.05	$2,480.21	$3,306.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $887.57 / $1,700.49 / $3,092.04	Facility		$887.57	$1,700.49	$3,092.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,847.00 / $3,619.74 / $4,590.25	Professional		$1,847.00	$3,619.74	$4,590.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,509.82 / $2,071.00 / $3,369.72	Facility		$1,509.82	$2,071.00	$3,369.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,509.82 / $2,071.00 / $3,369.72	Professional		$1,509.82	$2,071.00	$3,369.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,674.38 / $3,674.38 / $4,409.26	Facility		$3,674.38	$3,674.38	$4,409.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.15 / $1,374.83 / $2,118.58	Professional		$1,271.15	$1,374.83	$2,118.58