Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.37 / $1,856.82 / $1,856.82	Facility		$1,655.37	$1,856.82	$1,856.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.38 / $1,856.82 / $1,921.56	Professional		$1,438.38	$1,856.82	$1,921.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.70 / $3,520.70 / $3,738.98	Facility		$3,520.70	$3,520.70	$3,738.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,790.67 / $1,790.67 / $2,284.94	Professional		$1,790.67	$1,790.67	$2,284.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,849.70 / $1,973.02 / $2,406.73	Professional		$1,849.70	$1,973.02	$2,406.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,253.75	Facility		$2,253.75	$2,253.75	$2,253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $2,253.75	Professional		$1,915.69	$1,915.69	$2,253.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,464.48 / $3,168.63 / $4,224.84	Professional		$2,464.48	$3,168.63	$4,224.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $950.61 / $2,165.30 / $3,933.81	Facility		$950.61	$2,165.30	$3,933.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,726.00 / $4,624.45 / $5,864.34	Professional		$1,726.00	$4,624.45	$5,864.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $978.62 / $2,341.27 / $3,546.20	Facility		$978.62	$2,341.27	$3,546.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,055.96 / $2,413.86 / $3,796.11	Professional		$1,055.96	$2,413.86	$3,796.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,587.50 / $1,756.43 / $2,519.84	Professional		$1,587.50	$1,756.43	$2,519.84