Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.98 / $1,259.98 / $1,273.40	Facility		$1,259.98	$1,259.98	$1,273.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.54 / $1,259.98 / $1,397.85	Professional		$1,163.54	$1,259.98	$1,397.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,389.03 / $2,389.03 / $2,537.15	Facility		$2,389.03	$2,389.03	$2,537.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.86 / $1,335.86 / $1,701.28	Professional		$1,335.86	$1,335.86	$1,701.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,340.74 / $1,340.74 / $1,340.74	Professional		$1,340.74	$1,340.74	$1,340.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,366.32	Professional		$997.41	$997.41	$1,366.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.32 / $2,150.13 / $2,866.84	Professional		$1,672.32	$2,150.13	$2,866.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $1,469.30 / $2,657.77	Facility		$739.46	$1,469.30	$2,657.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,849.43 / $3,138.01 / $3,979.36	Professional		$1,849.43	$3,138.01	$3,979.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,346.54 / $1,811.22 / $2,851.26	Facility		$1,346.54	$1,811.22	$2,851.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,346.54 / $1,811.22 / $2,851.26	Professional		$1,346.54	$1,811.22	$2,851.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.86 / $1,191.85 / $1,795.38	Professional		$1,090.86	$1,191.85	$1,795.38