Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.43 / $1,241.43 / $1,254.65	Facility		$1,241.43	$1,241.43	$1,254.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.40 / $1,241.43 / $1,377.26	Professional		$1,146.40	$1,241.43	$1,377.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,353.86 / $2,353.86 / $2,499.80	Facility		$2,353.86	$2,353.86	$2,499.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,448.96 / $1,448.96 / $1,811.34	Professional		$1,448.96	$1,448.96	$1,811.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,314.07 / $1,314.07 / $1,609.08	Professional		$1,314.07	$1,314.07	$1,609.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.22 / $1,346.19 / $1,346.19	Facility		$1,258.22	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,346.19	Professional		$982.72	$982.72	$1,346.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.70 / $2,118.46 / $2,824.63	Professional		$1,647.70	$2,118.46	$2,824.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $693.87 / $1,447.66 / $2,641.06	Facility		$693.87	$1,447.66	$2,641.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,356.00 / $3,091.81 / $3,920.77	Professional		$1,356.00	$3,091.81	$3,920.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,289.60 / $1,776.43 / $2,878.24	Facility		$1,289.60	$1,776.43	$2,878.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,289.60 / $1,776.43 / $2,878.24	Professional		$1,289.60	$1,776.43	$2,878.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.80 / $1,174.31 / $1,684.70	Professional		$1,074.80	$1,174.31	$1,684.70