Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.24 / $1,493.24 / $1,509.14	Facility		$1,493.24	$1,493.24	$1,509.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.35 / $1,493.24 / $1,700.50	Professional		$1,388.35	$1,493.24	$1,700.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,831.32 / $2,831.32 / $3,006.86	Facility		$2,831.32	$2,831.32	$3,006.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,806.78 / $1,806.78 / $2,258.65	Professional		$1,806.78	$1,806.78	$2,258.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,518.00 / $1,518.00 / $1,935.47	Professional		$1,518.00	$1,518.00	$1,935.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.44 / $1,769.18 / $1,769.18	Facility		$1,513.44	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,769.18	Professional		$1,291.50	$1,291.50	$1,769.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,981.92 / $2,548.19 / $3,397.58	Professional		$1,981.92	$2,548.19	$3,397.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $1,795.88 / $3,222.96	Facility		$911.89	$1,795.88	$3,222.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,592.00 / $3,718.95 / $4,716.06	Professional		$1,592.00	$3,718.95	$4,716.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,551.19 / $2,127.75 / $3,379.12	Facility		$1,551.19	$2,127.75	$3,379.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,551.19 / $2,127.75 / $3,379.12	Professional		$1,551.19	$2,127.75	$3,379.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.43 / $1,412.51 / $2,176.64	Professional		$1,316.43	$1,412.51	$2,176.64