Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.34 / $1,022.34 / $1,033.22	Facility		$1,022.34	$1,022.34	$1,033.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.58 / $1,022.34 / $1,190.08	Professional		$932.58	$1,022.34	$1,190.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.44 / $1,938.44 / $2,058.62	Facility		$1,938.44	$1,938.44	$2,058.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.20 / $1,146.20 / $1,461.37	Professional		$1,146.20	$1,146.20	$1,461.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,039.00 / $1,039.00 / $1,325.11	Professional		$1,039.00	$1,039.00	$1,325.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,576.65	Professional		$1,150.95	$1,150.95	$1,576.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.91 / $1,744.60 / $2,326.13	Professional		$1,356.91	$1,744.60	$2,326.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $1,192.18 / $2,206.58	Facility		$604.26	$1,192.18	$2,206.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,128.00 / $2,546.16 / $3,228.82	Professional		$1,128.00	$2,546.16	$3,228.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,062.01 / $1,462.92 / $2,313.48	Facility		$1,062.01	$1,462.92	$2,313.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,062.01 / $1,462.92 / $2,313.48	Professional		$1,062.01	$1,462.92	$2,313.48
United Facility/Professional Professional Modifier Low / Median / High Price $900.78 / $967.07 / $1,442.35	Professional		$900.78	$967.07	$1,442.35