Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.56 / $1,461.56 / $1,477.12	Facility		$1,461.56	$1,461.56	$1,477.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.71 / $1,461.56 / $1,523.40	Professional		$1,349.71	$1,461.56	$1,523.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,771.24 / $2,771.24 / $2,943.06	Facility		$2,771.24	$2,771.24	$2,943.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,705.93 / $1,705.93 / $2,132.58	Professional		$1,705.93	$1,705.93	$2,132.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,533.94 / $1,533.94 / $1,894.40	Professional		$1,533.94	$1,533.94	$1,894.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $1,584.92	Facility		$1,584.92	$1,584.92	$1,584.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $1,584.92	Professional		$1,156.99	$1,156.99	$1,584.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,939.87 / $2,494.12 / $3,325.49	Professional		$1,939.87	$2,494.12	$3,325.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $857.77 / $1,704.38 / $3,082.98	Facility		$857.77	$1,704.38	$3,082.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,145.35 / $3,640.04 / $4,615.99	Professional		$2,145.35	$3,640.04	$4,615.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,561.97 / $2,115.11 / $3,307.43	Facility		$1,561.97	$2,115.11	$3,307.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,561.97 / $2,115.11 / $3,307.43	Professional		$1,561.97	$2,115.11	$3,307.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.41 / $1,382.54 / $2,082.62	Professional		$1,265.41	$1,382.54	$2,082.62