Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.22 / $1,265.22 / $1,278.69	Facility		$1,265.22	$1,265.22	$1,278.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.28 / $1,265.22 / $1,689.83	Professional		$1,226.28	$1,265.22	$1,689.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.96 / $2,398.96 / $2,547.71	Facility		$2,398.96	$2,398.96	$2,547.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.10 / $1,711.10 / $2,139.04	Professional		$1,711.10	$1,711.10	$2,139.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,286.00 / $1,344.40 / $1,639.92	Professional		$1,286.00	$1,344.40	$1,639.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.33 / $1,800.00 / $1,800.00	Facility		$1,282.33	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $1,800.00	Professional		$1,314.00	$1,314.00	$1,800.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,679.28 / $2,159.07 / $2,878.76	Professional		$1,679.28	$2,159.07	$2,878.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,475.41 / $2,730.81	Facility		$736.00	$1,475.41	$2,730.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,610.00 / $3,151.05 / $3,995.90	Professional		$1,610.00	$3,151.05	$3,995.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,314.32 / $1,802.84 / $2,863.12	Facility		$1,314.32	$1,802.84	$2,863.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,314.32 / $1,802.84 / $2,863.12	Professional		$1,314.32	$1,802.84	$2,863.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.98 / $1,196.82 / $1,756.79	Professional		$1,136.98	$1,196.82	$1,756.79