Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.99 / $1,163.35 / $1,163.35	Facility		$962.99	$1,163.35	$1,163.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.99 / $1,163.35 / $1,416.19	Professional		$962.99	$1,163.35	$1,416.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,352.89 / $2,352.89 / $2,498.77	Facility		$2,352.89	$2,352.89	$2,498.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,480.00 / $1,480.00 / $1,855.91	Professional		$1,480.00	$1,480.00	$1,855.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $1,262.00 / $1,608.42	Professional		$1,262.00	$1,262.00	$1,608.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,549.06	Professional		$1,130.81	$1,130.81	$1,549.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.02 / $2,117.60 / $2,823.47	Professional		$1,647.02	$2,117.60	$2,823.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $757.80 / $1,447.07 / $2,678.35	Facility		$757.80	$1,447.07	$2,678.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,601.00 / $2,941.11 / $3,919.14	Professional		$1,601.00	$2,941.11	$3,919.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,289.08 / $1,775.70 / $2,808.13	Facility		$1,289.08	$1,775.70	$2,808.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,289.08 / $1,775.70 / $2,808.13	Professional		$1,289.08	$1,775.70	$2,808.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.93 / $1,173.83 / $1,807.95	Professional		$1,060.93	$1,173.83	$1,807.95