Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.54 / $1,208.54 / $1,221.41	Facility		$1,208.54	$1,208.54	$1,221.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.65 / $1,208.54 / $1,374.42	Professional		$1,123.65	$1,208.54	$1,374.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.51 / $2,291.51 / $2,433.58	Facility		$2,291.51	$2,291.51	$2,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.04 / $1,398.04 / $1,788.35	Professional		$1,398.04	$1,398.04	$1,788.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,229.00 / $1,229.00 / $1,566.46	Professional		$1,229.00	$1,229.00	$1,566.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,665.63	Facility		$1,665.63	$1,665.63	$1,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $1,665.63	Professional		$1,215.91	$1,215.91	$1,665.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,604.06 / $2,062.36 / $2,749.81	Professional		$1,604.06	$2,062.36	$2,749.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $737.03 / $1,409.31 / $2,635.24	Facility		$737.03	$1,409.31	$2,635.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,716.00 / $3,009.90 / $3,816.91	Professional		$1,716.00	$3,009.90	$3,816.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,255.44 / $1,722.07 / $2,801.99	Facility		$1,255.44	$1,722.07	$2,801.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,255.44 / $1,722.07 / $2,801.99	Professional		$1,255.44	$1,722.07	$2,801.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.78 / $1,143.20 / $1,759.25	Professional		$1,071.78	$1,143.20	$1,759.25