Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.95 / $1,024.95 / $1,035.86	Facility		$1,024.95	$1,024.95	$1,035.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.10 / $1,024.95 / $1,112.24	Professional		$821.10	$1,024.95	$1,112.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.40 / $1,943.40 / $2,063.89	Facility		$1,943.40	$1,943.40	$2,063.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.81 / $1,048.81 / $1,362.53	Professional		$1,048.81	$1,048.81	$1,362.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,042.00 / $1,089.08 / $1,328.50	Professional		$1,042.00	$1,089.08	$1,328.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,360.38 / $1,749.06 / $2,332.08	Professional		$1,360.38	$1,749.06	$2,332.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $552.91 / $1,195.23 / $2,180.52	Facility		$552.91	$1,195.23	$2,180.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $2,552.67 / $3,237.08	Professional		$1,025.00	$2,552.67	$3,237.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,064.74 / $1,466.68 / $2,319.40	Facility		$1,064.74	$1,466.68	$2,319.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,064.74 / $1,466.68 / $2,319.40	Professional		$1,064.74	$1,466.68	$2,319.40
United Facility/Professional Professional Modifier Low / Median / High Price $876.29 / $969.54 / $1,460.48	Professional		$876.29	$969.54	$1,460.48