Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,951.21	Facility		$954.99	$1,148.15	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,995.26	Professional		$954.99	$1,202.26	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,511.89	Facility		$2,344.23	$2,344.23	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,818.38	Professional		$1,348.96	$1,348.96	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,621.81	Professional		$1,230.27	$1,230.27	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,513.56	Facility		$1,023.29	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,311.31	Professional		$1,659.59	$2,344.23	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,290.87	Professional		$1,258.93	$1,548.82	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,621.81 / $3,090.30	Facility		$954.99	$1,621.81	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $2,951.21	Professional		$1,258.93	$1,348.96	$2,951.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $4,897.79	Facility		$1,258.93	$1,905.46	$4,897.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $4,897.79	Professional		$1,258.93	$1,905.46	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $3,090.30	Facility		$776.25	$1,122.02	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,862.09	Professional		$1,047.13	$1,148.15	$1,862.09