Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.64 / $1,254.64 / $1,268.00	Facility		$1,254.64	$1,254.64	$1,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.51 / $1,254.64 / $1,316.33	Professional		$1,166.51	$1,254.64	$1,316.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,378.91 / $2,378.91 / $2,526.40	Facility		$2,378.91	$2,378.91	$2,526.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.56 / $1,275.56 / $1,665.24	Professional		$1,275.56	$1,275.56	$1,665.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,276.00 / $1,626.21	Professional		$1,276.00	$1,276.00	$1,626.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $1,606.19	Facility		$1,606.19	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,606.19	Professional		$1,172.52	$1,172.52	$1,606.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.24 / $2,141.02 / $2,854.69	Professional		$1,665.24	$2,141.02	$2,854.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.46 / $1,465.00 / $2,669.19	Facility		$672.46	$1,465.00	$2,669.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.00 / $3,124.71 / $3,962.49	Professional		$1,174.00	$3,124.71	$3,962.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,303.33 / $1,795.34 / $2,839.17	Facility		$1,303.33	$1,795.34	$2,839.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,303.33 / $1,795.34 / $2,839.17	Professional		$1,303.33	$1,795.34	$2,839.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,072.66 / $1,186.81 / $1,702.64	Professional		$1,072.66	$1,186.81	$1,702.64