Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.30 / $1,026.02 / $1,026.02	Facility		$849.30	$1,026.02	$1,026.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.30 / $1,026.02 / $1,185.89	Professional		$849.30	$1,026.02	$1,185.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,075.11 / $2,075.11 / $2,203.77	Facility		$2,075.11	$2,075.11	$2,203.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.98 / $1,136.98 / $1,474.94	Professional		$1,136.98	$1,136.98	$1,474.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $1,418.53	Professional		$1,113.00	$1,113.00	$1,418.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,109.22 / $1,277.46 / $1,277.46	Facility		$1,109.22	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,277.46	Professional		$932.55	$932.55	$1,277.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,452.58 / $1,867.60 / $2,490.13	Professional		$1,452.58	$1,867.60	$2,490.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $1,276.23 / $2,328.30	Facility		$606.11	$1,276.23	$2,328.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,058.00 / $2,593.89 / $3,456.46	Professional		$1,058.00	$2,593.89	$3,456.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,136.89 / $1,566.07 / $2,476.61	Facility		$1,136.89	$1,566.07	$2,476.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,136.89 / $1,566.07 / $2,476.61	Professional		$1,136.89	$1,566.07	$2,476.61
United Facility/Professional Professional Modifier Low / Median / High Price $852.48 / $1,035.25 / $1,559.46	Professional		$852.48	$1,035.25	$1,559.46