Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.30 / $1,218.30 / $1,231.27	Facility		$1,218.30	$1,218.30	$1,231.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.30 / $1,218.30 / $1,734.25	Professional		$1,218.30	$1,218.30	$1,734.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,309.98 / $2,309.98 / $2,453.21	Facility		$2,309.98	$2,309.98	$2,453.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.06 / $1,396.06 / $1,833.01	Professional		$1,396.06	$1,396.06	$1,833.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,294.53 / $1,579.10	Professional		$1,239.00	$1,294.53	$1,579.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $1,964.43	Professional		$1,434.03	$1,434.03	$1,964.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.99 / $2,078.98 / $2,771.99	Professional		$1,616.99	$2,078.98	$2,771.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.99 / $1,465.21 / $2,629.52	Facility		$743.99	$1,465.21	$2,629.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,299.00 / $3,034.19 / $3,847.71	Professional		$1,299.00	$3,034.19	$3,847.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,265.58 / $1,735.98 / $2,756.93	Facility		$1,265.58	$1,735.98	$2,756.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,265.58 / $1,735.98 / $2,756.93	Professional		$1,265.58	$1,735.98	$2,756.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.44 / $1,152.43 / $1,775.86	Professional		$1,073.44	$1,152.43	$1,775.86