Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $1,138.73 / $1,138.73	Facility		$942.61	$1,138.73	$1,138.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.61 / $1,138.73 / $1,367.95	Professional		$942.61	$1,138.73	$1,367.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,303.08 / $2,303.08 / $2,445.87	Facility		$2,303.08	$2,303.08	$2,445.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.19 / $1,387.19 / $1,749.78	Professional		$1,387.19	$1,387.19	$1,749.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,574.37	Professional		$1,235.00	$1,235.00	$1,574.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,703.99	Professional		$1,243.91	$1,243.91	$1,703.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,612.16 / $2,072.77 / $2,763.70	Professional		$1,612.16	$2,072.77	$2,763.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $1,416.43 / $2,621.66	Facility		$733.56	$1,416.43	$2,621.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,467.00 / $2,878.85 / $3,836.19	Professional		$1,467.00	$2,878.85	$3,836.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,261.79 / $1,738.11 / $2,748.68	Facility		$1,261.79	$1,738.11	$2,748.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,261.79 / $1,738.11 / $2,748.68	Professional		$1,261.79	$1,738.11	$2,748.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.73 / $1,148.98 / $1,730.77	Professional		$1,031.73	$1,148.98	$1,730.77