Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $3,548.13	Facility		$1,318.26	$2,630.27	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,445.44	Professional		$1,071.52	$1,288.25	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $741.31 / $1,258.93	Facility		$371.54	$741.31	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,089.30	Professional		$1,258.93	$1,258.93	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $446.68	Professional		$173.78	$213.80	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,258.93 / $1,778.28	Facility		$229.09	$1,258.93	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $346.74 / $1,348.96	Professional		$70.79	$346.74	$1,348.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,905.46	Facility		$1,230.27	$1,479.11	$1,905.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,905.46	Professional		$1,230.27	$1,479.11	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,479.11	Professional		$977.24	$1,380.38	$1,479.11