Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.72 / $1,142.49 / $1,142.49	Facility		$945.72	$1,142.49	$1,142.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.72 / $1,142.49 / $1,373.73	Professional		$945.72	$1,142.49	$1,373.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.67 / $2,310.67 / $2,453.94	Facility		$2,310.67	$2,310.67	$2,453.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.39 / $1,339.39 / $1,775.69	Professional		$1,339.39	$1,339.39	$1,775.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,239.00 / $1,239.00	Professional		$1,239.00	$1,239.00	$1,239.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,499.97	Professional		$1,094.98	$1,094.98	$1,499.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,617.48 / $2,079.61 / $2,772.82	Professional		$1,617.48	$2,079.61	$2,772.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $736.66 / $1,421.10 / $2,603.61	Facility		$736.66	$1,421.10	$2,603.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,286.00 / $2,888.35 / $3,848.85	Professional		$1,286.00	$2,888.35	$3,848.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,265.95 / $1,743.85 / $2,757.75	Facility		$1,265.95	$1,743.85	$2,757.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,265.95 / $1,743.85 / $2,757.75	Professional		$1,265.95	$1,743.85	$2,757.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.08 / $1,152.77 / $1,736.49	Professional		$1,036.08	$1,152.77	$1,736.49