Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.42 / $989.92 / $989.92	Facility		$819.42	$989.92	$989.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.42 / $989.92 / $1,202.46	Professional		$819.42	$989.92	$1,202.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,002.10 / $2,002.10 / $2,126.23	Facility		$2,002.10	$2,002.10	$2,126.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,247.18 / $1,247.18 / $1,559.09	Professional		$1,247.18	$1,247.18	$1,559.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.69 / $1,117.69 / $1,368.62	Professional		$1,117.69	$1,117.69	$1,368.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,304.10	Professional		$952.00	$952.00	$1,304.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.47 / $1,801.89 / $2,402.52	Professional		$1,401.47	$1,801.89	$2,402.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $644.82 / $1,231.33 / $2,246.38	Facility		$644.82	$1,231.33	$2,246.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,199.00 / $2,502.63 / $3,334.85	Professional		$1,199.00	$2,502.63	$3,334.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.89 / $1,510.97 / $2,448.12	Facility		$1,096.89	$1,510.97	$2,448.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.89 / $1,510.97 / $2,448.12	Professional		$1,096.89	$1,510.97	$2,448.12
United Facility/Professional Professional Modifier Low / Median / High Price $902.75 / $998.83 / $1,584.13	Professional		$902.75	$998.83	$1,584.13