Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.20 / $1,413.20 / $1,428.25	Facility		$1,413.20	$1,413.20	$1,428.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.93 / $1,413.20 / $1,609.35	Professional		$1,313.93	$1,413.20	$1,609.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,679.56 / $2,679.56 / $2,845.69	Facility		$2,679.56	$2,679.56	$2,845.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.41 / $1,619.41 / $2,099.44	Professional		$1,619.41	$1,619.41	$2,099.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,495.89 / $1,495.89 / $1,831.73	Professional		$1,495.89	$1,495.89	$1,831.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,283.76	Professional		$1,667.14	$1,667.14	$2,283.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,875.69 / $2,411.60 / $3,215.47	Professional		$1,875.69	$2,411.60	$3,215.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $863.01 / $1,647.98 / $3,006.50	Facility		$863.01	$1,647.98	$3,006.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,068.56 / $3,519.61 / $4,463.27	Professional		$2,068.56	$3,519.61	$4,463.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,468.05 / $2,059.96 / $3,423.29	Facility		$1,468.05	$2,059.96	$3,423.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,468.05 / $2,059.96 / $3,423.29	Professional		$1,468.05	$2,059.96	$3,423.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.96 / $1,336.80 / $2,059.96	Professional		$1,269.96	$1,336.80	$2,059.96