Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.63 / $921.31 / $921.31	Facility		$762.63	$921.31	$921.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.63 / $921.31 / $1,091.84	Professional		$762.63	$921.31	$1,091.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,863.33 / $1,863.33 / $1,978.86	Facility		$1,863.33	$1,863.33	$1,978.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.65 / $1,069.65 / $1,372.94	Professional		$1,069.65	$1,069.65	$1,372.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.23 / $1,040.23 / $1,273.76	Professional		$1,040.23	$1,040.23	$1,273.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,108.41	Professional		$809.14	$809.14	$1,108.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.33 / $1,677.00 / $2,236.00	Professional		$1,304.33	$1,677.00	$2,236.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $1,145.98 / $2,090.69	Facility		$562.66	$1,145.98	$2,090.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,029.00 / $2,329.16 / $3,103.71	Professional		$1,029.00	$2,329.16	$3,103.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,020.87 / $1,406.25 / $2,278.44	Facility		$1,020.87	$1,406.25	$2,278.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,020.87 / $1,406.25 / $2,278.44	Professional		$1,020.87	$1,406.25	$2,278.44
United Facility/Professional Professional Modifier Low / Median / High Price $798.69 / $929.60 / $1,396.72	Professional		$798.69	$929.60	$1,396.72