Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.08 / $1,199.08 / $1,211.83	Facility		$1,199.08	$1,199.08	$1,211.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.84 / $1,199.08 / $1,304.74	Professional		$1,114.84	$1,199.08	$1,304.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,273.55 / $2,273.55 / $2,414.51	Facility		$2,273.55	$2,273.55	$2,414.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.91 / $1,317.91 / $1,716.33	Professional		$1,317.91	$1,317.91	$1,716.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,219.00 / $1,219.00 / $1,219.00	Professional		$1,219.00	$1,219.00	$1,219.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,599.98	Professional		$1,167.99	$1,167.99	$1,599.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.49 / $2,046.20 / $2,728.26	Professional		$1,591.49	$2,046.20	$2,728.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $699.67 / $1,402.92 / $2,568.00	Facility		$699.67	$1,402.92	$2,568.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,222.00 / $2,986.32 / $3,787.00	Professional		$1,222.00	$2,986.32	$3,787.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,245.61 / $1,708.59 / $2,713.44	Facility		$1,245.61	$1,708.59	$2,713.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,245.61 / $1,708.59 / $2,713.44	Professional		$1,245.61	$1,708.59	$2,713.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.51 / $1,134.25 / $1,670.08	Professional		$1,056.51	$1,134.25	$1,670.08