Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,691.53	Facility		$870.96	$1,047.13	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,862.09	Professional		$870.96	$1,047.13	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,290.87	Facility		$2,187.76	$2,187.76	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,630.27	Professional		$1,258.93	$1,258.93	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Professional		$1,174.90	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,318.26	Facility		$1,047.13	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,318.26	Professional		$977.24	$977.24	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,019.95	Professional		$1,513.56	$2,187.76	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,137.96	Professional		$1,071.52	$1,412.54	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,691.53	Facility		$870.96	$1,445.44	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,691.53	Professional		$1,174.90	$1,412.54	$2,691.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,466.84	Facility		$1,174.90	$1,778.28	$4,466.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,466.84	Professional		$1,174.90	$1,778.28	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $3,388.44	Facility		$724.44	$1,047.13	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,698.24	Professional		$954.99	$1,071.52	$1,698.24