Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.18 / $1,070.18 / $1,081.57	Facility		$1,070.18	$1,070.18	$1,081.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.29 / $1,070.18 / $1,187.29	Professional		$988.29	$1,070.18	$1,187.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,029.15 / $2,029.15 / $2,154.96	Facility		$2,029.15	$2,029.15	$2,154.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,546.78 / $2,546.78 / $3,131.52	Professional		$2,546.78	$2,546.78	$3,131.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,776.79 / $1,776.79 / $1,776.79	Professional		$1,776.79	$1,776.79	$1,776.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $1,650.90	Professional		$1,403.27	$1,403.27	$1,650.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.41 / $1,826.24 / $2,434.98	Professional		$1,420.41	$1,826.24	$2,434.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $1,337.72 / $2,608.55	Facility		$926.42	$1,337.72	$2,608.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,124.51 / $2,665.29 / $3,379.90	Professional		$2,124.51	$2,665.29	$3,379.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,243.75 / $2,029.15 / $3,178.47	Facility		$1,243.75	$2,029.15	$3,178.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,243.75 / $2,029.15 / $3,178.47	Professional		$1,243.75	$2,029.15	$3,178.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,083.54 / $1,224.69 / $2,162.13	Facility		$1,083.54	$1,224.69	$2,162.13
United Facility/Professional Professional Modifier Low / Median / High Price $961.70 / $1,235.70 / $2,211.31	Professional		$961.70	$1,235.70	$2,211.31