Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.08 / $1,279.08 / $1,292.70	Facility		$1,279.08	$1,279.08	$1,292.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.81 / $1,279.08 / $1,456.62	Professional		$1,275.81	$1,279.08	$1,456.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,425.26 / $2,425.26 / $2,575.63	Facility		$2,425.26	$2,425.26	$2,575.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.65 / $1,481.65 / $1,942.24	Professional		$1,481.65	$1,481.65	$1,942.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,657.89	Professional		$1,300.00	$1,300.00	$1,657.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $1,769.38	Facility		$1,769.38	$1,769.38	$1,769.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,769.38	Professional		$1,291.65	$1,291.65	$1,769.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,697.68 / $2,182.73 / $2,910.31	Professional		$1,697.68	$2,182.73	$2,910.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $781.11 / $1,538.31 / $2,760.73	Facility		$781.11	$1,538.31	$2,760.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,364.00 / $3,185.58 / $4,039.68	Professional		$1,364.00	$3,185.58	$4,039.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,328.73 / $1,830.32 / $2,894.50	Facility		$1,328.73	$1,830.32	$2,894.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,328.73 / $1,830.32 / $2,894.50	Professional		$1,328.73	$1,830.32	$2,894.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.63 / $1,209.93 / $1,864.47	Professional		$1,127.63	$1,209.93	$1,864.47