Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.34 / $1,482.34 / $1,498.12	Facility		$1,482.34	$1,482.34	$1,498.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.96 / $1,482.34 / $1,644.85	Professional		$1,294.96	$1,482.34	$1,644.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,810.65 / $2,810.65 / $2,984.91	Facility		$2,810.65	$2,810.65	$2,984.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.84 / $1,660.84 / $2,135.77	Professional		$1,660.84	$1,660.84	$2,135.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,507.00 / $1,507.00 / $1,921.35	Professional		$1,507.00	$1,507.00	$1,921.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.39 / $1,711.28 / $1,711.28	Facility		$1,502.39	$1,711.28	$1,711.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $1,711.28	Professional		$1,249.23	$1,249.23	$1,711.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,967.46 / $2,529.59 / $3,372.78	Professional		$1,967.46	$2,529.59	$3,372.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $882.05 / $1,734.34 / $3,199.43	Facility		$882.05	$1,734.34	$3,199.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,540.00 / $3,691.80 / $4,681.64	Professional		$1,540.00	$3,691.80	$4,681.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,539.87 / $2,121.17 / $3,354.44	Facility		$1,539.87	$2,121.17	$3,354.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,539.87 / $2,121.17 / $3,354.44	Professional		$1,539.87	$2,121.17	$3,354.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.33 / $1,402.20 / $2,105.41	Professional		$1,267.33	$1,402.20	$2,105.41