Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.51 / $1,004.51 / $1,015.20	Facility		$1,004.51	$1,004.51	$1,015.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.51 / $1,004.51 / $1,170.95	Professional		$1,004.51	$1,004.51	$1,170.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,904.64 / $1,904.64 / $2,022.73	Facility		$1,904.64	$1,904.64	$2,022.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.24 / $1,157.24 / $1,497.66	Professional		$1,157.24	$1,157.24	$1,497.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,063.29 / $1,063.29 / $1,302.00	Professional		$1,063.29	$1,063.29	$1,302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,333.25 / $1,714.18 / $2,285.57	Professional		$1,333.25	$1,714.18	$2,285.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $1,171.39 / $2,137.03	Facility		$613.44	$1,171.39	$2,137.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,393.72 / $2,501.75 / $3,172.51	Professional		$1,393.72	$2,501.75	$3,172.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,043.50 / $1,464.24 / $2,433.30	Facility		$1,043.50	$1,464.24	$2,433.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,043.50 / $1,464.24 / $2,433.30	Professional		$1,043.50	$1,464.24	$2,433.30
United Facility/Professional Professional Modifier Low / Median / High Price $885.57 / $950.20 / $1,464.24	Professional		$885.57	$950.20	$1,464.24