Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $1,101.00 / $1,112.73	Facility		$1,101.00	$1,101.00	$1,112.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,101.00 / $1,316.14	Professional		$1,101.00	$1,101.00	$1,316.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,087.60 / $2,087.60 / $2,217.03	Facility		$2,087.60	$2,087.60	$2,217.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.38 / $1,275.38 / $1,656.78	Professional		$1,275.38	$1,275.38	$1,656.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,119.00 / $1,119.00 / $1,427.07	Professional		$1,119.00	$1,119.00	$1,427.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $1,620.00	Professional		$1,182.59	$1,182.59	$1,620.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,461.32 / $1,878.84 / $2,505.12	Professional		$1,461.32	$1,878.84	$2,505.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $1,288.17 / $2,376.36	Facility		$672.36	$1,288.17	$2,376.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,199.00 / $2,742.07 / $3,477.27	Professional		$1,199.00	$2,742.07	$3,477.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,143.74 / $1,575.49 / $2,491.50	Facility		$1,143.74	$1,575.49	$2,491.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,143.74 / $1,575.49 / $2,491.50	Professional		$1,143.74	$1,575.49	$2,491.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,783.46 / $2,783.46 / $3,340.15	Facility		$2,783.46	$2,783.46	$3,340.15
United Facility/Professional Professional Modifier Low / Median / High Price $970.09 / $1,041.48 / $1,604.89	Professional		$970.09	$1,041.48	$1,604.89