Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.26 / $1,152.26 / $1,164.52	Facility		$1,152.26	$1,152.26	$1,164.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.31 / $1,152.26 / $1,245.10	Professional		$1,071.31	$1,152.26	$1,245.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,184.78 / $2,184.78 / $2,320.23	Facility		$2,184.78	$2,184.78	$2,320.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.47 / $1,282.47 / $1,626.68	Professional		$1,282.47	$1,282.47	$1,626.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,171.00 / $1,171.00 / $1,493.50	Professional		$1,171.00	$1,171.00	$1,493.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $1,295.39	Facility		$1,295.39	$1,295.39	$1,295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,295.39	Professional		$945.63	$945.63	$1,295.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,529.35 / $1,966.30 / $2,621.74	Professional		$1,529.35	$1,966.30	$2,621.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $667.69 / $1,362.87 / $2,451.34	Facility		$667.69	$1,362.87	$2,451.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,166.00 / $2,869.71 / $3,639.13	Professional		$1,166.00	$2,869.71	$3,639.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,196.97 / $1,641.86 / $2,607.48	Facility		$1,196.97	$1,641.86	$2,607.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,196.97 / $1,641.86 / $2,607.48	Professional		$1,196.97	$1,641.86	$2,607.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.25 / $1,089.96 / $1,593.75	Professional		$1,015.25	$1,089.96	$1,593.75