Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.22 / $1,411.22 / $1,426.25	Facility		$1,411.22	$1,411.22	$1,426.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.48 / $1,411.22 / $1,480.01	Professional		$1,263.48	$1,411.22	$1,480.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.80 / $2,675.80 / $2,841.70	Facility		$2,675.80	$2,675.80	$2,841.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.84 / $1,500.84 / $1,915.72	Professional		$1,500.84	$1,500.84	$1,915.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,435.00 / $1,435.00 / $1,829.16	Professional		$1,435.00	$1,435.00	$1,829.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $1,960.76	Facility		$1,960.76	$1,960.76	$1,960.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $1,960.76	Professional		$1,431.35	$1,431.35	$1,960.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,873.06 / $2,408.21 / $3,210.96	Professional		$1,873.06	$2,408.21	$3,210.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $791.23 / $1,645.66 / $3,045.94	Facility		$791.23	$1,645.66	$3,045.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,602.00 / $3,514.68 / $4,457.02	Professional		$1,602.00	$3,514.68	$4,457.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,465.99 / $2,010.87 / $3,193.52	Facility		$1,465.99	$2,010.87	$3,193.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,465.99 / $2,010.87 / $3,193.52	Professional		$1,465.99	$2,010.87	$3,193.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.59 / $1,334.93 / $2,010.87	Professional		$1,225.59	$1,334.93	$2,010.87