Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.36 / $1,050.25 / $1,050.25	Facility		$869.36	$1,050.25	$1,050.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.36 / $1,050.25 / $1,408.01	Professional		$869.36	$1,050.25	$1,408.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,124.12 / $2,124.12 / $2,255.82	Facility		$2,124.12	$2,124.12	$2,255.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.10 / $1,271.10 / $1,631.21	Professional		$1,271.10	$1,271.10	$1,631.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,185.81 / $1,185.81 / $1,452.04	Professional		$1,185.81	$1,185.81	$1,452.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,327.28	Professional		$968.91	$968.91	$1,327.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.88 / $1,911.71 / $2,548.94	Professional		$1,486.88	$1,911.71	$2,548.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $1,306.36 / $2,383.28	Facility		$684.12	$1,306.36	$2,383.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $2,655.15 / $3,538.10	Professional		$1,188.00	$2,655.15	$3,538.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,117.19 / $1,603.06 / $2,597.33	Facility		$1,117.19	$1,603.06	$2,597.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,117.19 / $1,603.06 / $2,597.33	Professional		$1,117.19	$1,603.06	$2,597.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,832.16 / $2,832.16 / $3,398.59	Facility		$2,832.16	$2,832.16	$3,398.59
United Facility/Professional Professional Modifier Low / Median / High Price $957.77 / $1,059.70 / $1,680.68	Professional		$957.77	$1,059.70	$1,680.68