Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.66 / $1,054.24 / $1,054.24	Facility		$872.66	$1,054.24	$1,054.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.66 / $1,054.24 / $1,163.05	Professional		$872.66	$1,054.24	$1,163.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,132.19 / $2,132.19 / $2,264.39	Facility		$2,132.19	$2,132.19	$2,264.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.98 / $1,133.98 / $1,509.89	Professional		$1,133.98	$1,133.98	$1,509.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,143.00 / $1,143.00 / $1,143.00	Professional		$1,143.00	$1,143.00	$1,143.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,399.15	Facility		$1,399.15	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $1,399.15	Professional		$1,021.38	$1,021.38	$1,399.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,492.53 / $1,918.97 / $2,558.63	Professional		$1,492.53	$1,918.97	$2,558.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $1,307.74 / $2,392.36	Facility		$623.69	$1,307.74	$2,392.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $2,665.24 / $3,551.54	Professional		$1,089.00	$2,665.24	$3,551.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,168.17 / $1,609.15 / $2,544.71	Facility		$1,168.17	$1,609.15	$2,544.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,168.17 / $1,609.15 / $2,544.71	Professional		$1,168.17	$1,609.15	$2,544.71
United Facility/Professional Professional Modifier Low / Median / High Price $909.37 / $1,063.72 / $1,602.36	Professional		$909.37	$1,063.72	$1,602.36