Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.84 / $1,314.84 / $1,328.84	Facility		$1,314.84	$1,314.84	$1,328.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.19 / $1,314.84 / $1,367.87	Professional		$1,171.19	$1,314.84	$1,367.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.06 / $2,493.06 / $2,647.63	Facility		$2,493.06	$2,493.06	$2,647.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.42 / $1,376.42 / $1,783.45	Professional		$1,376.42	$1,376.42	$1,783.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,337.00 / $1,397.13 / $1,704.24	Professional		$1,337.00	$1,397.13	$1,704.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $1,654.54	Facility		$1,654.54	$1,654.54	$1,654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $1,654.54	Professional		$1,207.81	$1,207.81	$1,654.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,745.14 / $2,243.75 / $2,991.67	Professional		$1,745.14	$2,243.75	$2,991.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $1,581.32 / $2,797.23	Facility		$733.52	$1,581.32	$2,797.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,281.00 / $3,274.64 / $4,152.63	Professional		$1,281.00	$3,274.64	$4,152.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,365.87 / $1,881.48 / $2,975.42	Facility		$1,365.87	$1,881.48	$2,975.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,365.87 / $1,881.48 / $2,975.42	Professional		$1,365.87	$1,881.48	$2,975.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.22 / $1,243.76 / $1,802.04	Professional		$1,136.22	$1,243.76	$1,802.04