Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.54 / $1,135.54 / $1,147.63	Facility		$1,135.54	$1,135.54	$1,147.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.78 / $1,135.54 / $1,222.46	Professional		$1,055.78	$1,135.54	$1,222.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.08 / $2,153.08 / $2,286.57	Facility		$2,153.08	$2,153.08	$2,286.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.47 / $1,243.47 / $1,615.19	Professional		$1,243.47	$1,243.47	$1,615.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,154.00 / $1,154.00 / $1,471.83	Professional		$1,154.00	$1,154.00	$1,471.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.91 / $1,271.83 / $1,271.83	Facility		$1,150.91	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,271.83	Professional		$928.44	$928.44	$1,271.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,507.16 / $1,937.77 / $2,583.69	Professional		$1,507.16	$1,937.77	$2,583.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.54 / $1,365.68 / $2,415.81	Facility		$655.54	$1,365.68	$2,415.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $2,828.09 / $3,586.35	Professional		$1,144.00	$2,828.09	$3,586.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,179.60 / $1,624.91 / $2,569.66	Facility		$1,179.60	$1,624.91	$2,569.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,179.60 / $1,624.91 / $2,569.66	Professional		$1,179.60	$1,624.91	$2,569.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.52 / $1,074.15 / $1,564.74	Professional		$1,000.52	$1,074.15	$1,564.74