Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $2,884.03	Facility		$1,096.48	$2,187.76	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,258.93	Professional		$1,023.29	$1,071.52	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $3,890.45	Facility		$1,148.15	$2,290.87	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Professional		$1,023.29	$1,023.29	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $891.25	Professional		$426.58	$512.86	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $645.65	Professional		$501.19	$501.19	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,659.59	Facility		$501.19	$1,096.48	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,071.52 / $1,122.02	Professional		$371.54	$1,071.52	$1,122.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,621.81	Facility		$1,023.29	$1,230.27	$1,621.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,621.81	Professional		$1,023.29	$1,230.27	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,202.26	Professional		$1,071.52	$1,148.15	$1,202.26