Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.48 / $1,202.48 / $1,215.28	Facility		$1,202.48	$1,202.48	$1,215.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.56 / $1,202.48 / $1,465.25	Professional		$1,157.56	$1,202.48	$1,465.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,280.00 / $2,280.00 / $2,421.36	Facility		$2,280.00	$2,280.00	$2,421.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $1,369.38 / $1,815.57	Professional		$1,369.38	$1,369.38	$1,815.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,223.00 / $1,558.59	Professional		$1,223.00	$1,223.00	$1,558.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,424.68	Professional		$1,040.02	$1,040.02	$1,424.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,596.00 / $2,052.00 / $2,736.00	Professional		$1,596.00	$2,052.00	$2,736.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $734.33 / $1,446.18 / $2,595.39	Facility		$734.33	$1,446.18	$2,595.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,282.00 / $2,994.79 / $3,797.75	Professional		$1,282.00	$2,994.79	$3,797.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,249.14 / $1,713.44 / $2,721.13	Facility		$1,249.14	$1,713.44	$2,721.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,249.14 / $1,713.44 / $2,721.13	Professional		$1,249.14	$1,713.44	$2,721.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.09 / $1,137.47 / $1,752.80	Professional		$1,060.09	$1,137.47	$1,752.80