Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.66 / $2,562.66 / $4,496.13	Facility		$1,147.66	$2,562.66	$4,496.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.64 / $1,107.16 / $1,147.66	Professional		$1,012.64	$1,107.16	$1,147.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $6,575.43	Facility		$1,350.19	$1,350.19	$6,575.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.08 / $540.08 / $848.19	Professional		$540.08	$540.08	$848.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,080.15 / $1,215.17 / $2,369.58	Professional		$1,080.15	$1,215.17	$2,369.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.42 / $2,522.91 / $6,916.08	Facility		$887.42	$2,522.91	$6,916.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.47 / $819.49 / $2,228.36	Professional		$646.47	$819.49	$2,228.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,620.23 / $1,998.28	Professional		$1,350.19	$1,620.23	$1,998.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,012.64 / $1,836.26	Facility		$810.11	$1,012.64	$1,836.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,329.00 / $1,417.70 / $3,240.46	Professional		$1,329.00	$1,417.70	$3,240.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $945.13 / $1,622.93 / $5,761.80	Facility		$945.13	$1,622.93	$5,761.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $945.13 / $1,634.27 / $5,761.80	Professional		$945.13	$1,634.27	$5,761.80
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $675.10 / $1,350.19	Professional		$567.08	$675.10	$1,350.19