Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.40 / $1,532.40 / $1,548.72	Facility		$1,532.40	$1,532.40	$1,548.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.27 / $1,532.40 / $1,548.72	Professional		$1,260.27	$1,532.40	$1,548.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,905.57 / $2,905.57 / $3,085.72	Facility		$2,905.57	$2,905.57	$3,085.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,489.31 / $1,489.31 / $1,894.83	Professional		$1,489.31	$1,489.31	$1,894.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,558.00 / $1,558.00 / $1,986.23	Professional		$1,558.00	$1,558.00	$1,986.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $1,523.27	Facility		$1,523.27	$1,523.27	$1,523.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $1,523.27	Professional		$1,111.99	$1,111.99	$1,523.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,033.90 / $2,615.01 / $3,486.68	Professional		$2,033.90	$2,615.01	$3,486.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $785.15 / $1,786.98 / $3,260.09	Facility		$785.15	$1,786.98	$3,260.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,423.00 / $3,816.49 / $4,839.75	Professional		$1,423.00	$3,816.49	$4,839.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,591.88 / $2,192.81 / $3,467.74	Facility		$1,591.88	$2,192.81	$3,467.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,591.88 / $2,192.81 / $3,467.74	Professional		$1,591.88	$2,192.81	$3,467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,310.13 / $1,449.56 / $2,079.57	Professional		$1,310.13	$1,449.56	$2,079.57