Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.77 / $1,081.77 / $1,093.29	Facility		$1,081.77	$1,081.77	$1,093.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.77 / $1,081.77 / $1,235.83	Professional		$1,081.77	$1,081.77	$1,235.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,051.13 / $2,051.13 / $2,178.30	Facility		$2,051.13	$2,051.13	$2,178.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.11 / $1,253.11 / $1,585.65	Professional		$1,253.11	$1,253.11	$1,585.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,402.14	Professional		$1,100.00	$1,100.00	$1,402.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $1,637.27	Facility		$1,637.27	$1,637.27	$1,637.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $1,637.27	Professional		$1,195.21	$1,195.21	$1,637.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.79 / $1,846.02 / $2,461.36	Professional		$1,435.79	$1,846.02	$2,461.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.62 / $1,301.02 / $2,398.39	Facility		$660.62	$1,301.02	$2,398.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $2,694.17 / $3,416.53	Professional		$1,186.00	$2,694.17	$3,416.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,123.76 / $1,547.97 / $2,447.98	Facility		$1,123.76	$1,547.97	$2,447.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,123.76 / $1,547.97 / $2,447.98	Professional		$1,123.76	$1,547.97	$2,447.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $959.36 / $1,023.29 / $1,576.86	Professional		$959.36	$1,023.29	$1,576.86