Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.20 / $1,292.20 / $1,305.96	Facility		$1,292.20	$1,292.20	$1,305.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.20 / $1,292.20 / $1,568.68	Professional		$1,292.20	$1,292.20	$1,568.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,450.14 / $2,450.14 / $2,602.05	Facility		$2,450.14	$2,450.14	$2,602.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,484.70 / $1,484.70 / $1,948.21	Professional		$1,484.70	$1,484.70	$1,948.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $1,674.90	Professional		$1,314.00	$1,314.00	$1,674.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,309.70 / $1,787.17 / $1,787.17	Facility		$1,309.70	$1,787.17	$1,787.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $1,637.12	Professional		$1,304.63	$1,304.63	$1,637.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,715.10 / $2,205.13 / $2,940.17	Professional		$1,715.10	$2,205.13	$2,940.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $789.12 / $1,554.09 / $2,789.05	Facility		$789.12	$1,554.09	$2,789.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,378.00 / $3,218.27 / $4,081.14	Professional		$1,378.00	$3,218.27	$4,081.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,342.36 / $1,841.29 / $2,924.19	Facility		$1,342.36	$1,841.29	$2,924.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,342.36 / $1,841.29 / $2,924.19	Professional		$1,342.36	$1,841.29	$2,924.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,139.20 / $1,222.33 / $1,883.60	Professional		$1,139.20	$1,222.33	$1,883.60