Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.26 / $1,024.26 / $1,024.26	Facility		$1,024.26	$1,024.26	$1,024.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.79 / $1,024.26 / $1,321.58	Professional		$848.79	$1,024.26	$1,321.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.86 / $1,702.86 / $1,702.86	Facility		$1,702.86	$1,702.86	$1,702.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.29 / $1,306.29 / $1,306.29	Professional		$1,306.29	$1,306.29	$1,306.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,219.84 / $1,219.84 / $1,219.84	Professional		$1,219.84	$1,219.84	$1,219.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,457.77	Professional		$949.10	$1,116.58	$1,457.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.16 / $1,447.43 / $1,972.39	Professional		$1,255.16	$1,447.43	$1,972.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,008.03 / $1,063.46 / $1,702.86	Facility		$1,008.03	$1,063.46	$1,702.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,642.11 / $1,642.11 / $1,642.11	Professional		$1,642.11	$1,642.11	$1,642.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $197.66 / $1,563.91	Facility		$116.08	$197.66	$1,563.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $197.66 / $1,563.91	Professional		$116.08	$197.66	$1,563.91
United Facility/Professional Professional Modifier Low / Median / High Price $781.98 / $875.30 / $1,400.48	Professional		$781.98	$875.30	$1,400.48