Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.30 / $1,230.30 / $1,243.41	Facility		$1,230.30	$1,230.30	$1,243.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.16 / $1,230.30 / $1,452.97	Professional		$1,227.16	$1,230.30	$1,452.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,332.77 / $2,332.77 / $2,477.40	Facility		$2,332.77	$2,332.77	$2,477.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.16 / $1,425.16 / $1,837.29	Professional		$1,425.16	$1,425.16	$1,837.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,251.00 / $1,594.66	Professional		$1,251.00	$1,251.00	$1,594.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.95 / $1,823.10 / $1,823.10	Facility		$1,246.95	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $1,823.10	Professional		$1,330.86	$1,330.86	$1,823.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,632.94 / $2,099.48 / $2,799.32	Professional		$1,632.94	$2,099.48	$2,799.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $751.32 / $1,479.66 / $2,655.45	Facility		$751.32	$1,479.66	$2,655.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,312.00 / $3,064.11 / $3,885.65	Professional		$1,312.00	$3,064.11	$3,885.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,278.05 / $1,760.52 / $2,784.11	Facility		$1,278.05	$1,760.52	$2,784.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,278.05 / $1,760.52 / $2,784.11	Professional		$1,278.05	$1,760.52	$2,784.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.02 / $1,163.79 / $1,793.37	Professional		$1,076.02	$1,163.79	$1,793.37