Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.65 / $1,074.00 / $3,127.60	Facility		$947.65	$1,074.00	$3,127.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $1,036.08 / $1,074.00	Professional		$947.65	$1,036.08	$1,074.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,798.89 / $6,153.39 / $7,770.71	Facility		$4,798.89	$6,153.39	$7,770.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $110.81	Professional		$66.38	$66.38	$110.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,010.82 / $1,010.82 / $1,971.10	Professional		$1,010.82	$1,010.82	$1,971.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.29 / $2,785.35 / $6,473.25	Facility		$821.29	$2,785.35	$6,473.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.80 / $1,538.80 / $1,843.65	Professional		$1,538.80	$1,538.80	$1,843.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,516.24 / $1,870.02	Professional		$1,263.53	$1,516.24	$1,870.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $947.65 / $1,263.53 / $2,148.00	Facility		$947.65	$1,263.53	$2,148.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,491.00 / $2,211.17 / $3,032.47	Professional		$1,491.00	$2,211.17	$3,032.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $943.86 / $1,453.06 / $2,345.87	Facility		$943.86	$1,453.06	$2,345.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $943.86 / $1,453.06 / $2,345.87	Professional		$943.86	$1,453.06	$2,345.87
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $657.04 / $1,453.06	Professional		$530.67	$657.04	$1,453.06