Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.73 / $1,124.38 / $1,124.38	Facility		$930.73	$1,124.38	$1,124.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.73 / $1,124.38 / $1,330.58	Professional		$930.73	$1,124.38	$1,330.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,274.06 / $2,274.06 / $2,415.05	Facility		$2,274.06	$2,274.06	$2,415.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.07 / $1,250.07 / $1,619.40	Professional		$1,250.07	$1,250.07	$1,619.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,269.51 / $1,269.51 / $1,554.53	Professional		$1,269.51	$1,269.51	$1,554.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.56 / $1,300.55 / $1,300.55	Facility		$1,215.56	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $1,300.55	Professional		$949.40	$949.40	$1,300.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.84 / $2,046.65 / $2,728.87	Professional		$1,591.84	$2,046.65	$2,728.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $670.35 / $1,330.94 / $2,540.88	Facility		$670.35	$1,330.94	$2,540.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,310.00 / $2,842.58 / $3,787.84	Professional		$1,310.00	$2,842.58	$3,787.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,245.88 / $1,721.31 / $2,714.03	Facility		$1,245.88	$1,721.31	$2,714.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,245.88 / $1,721.31 / $2,714.03	Professional		$1,245.88	$1,721.31	$2,714.03
United Facility/Professional Professional Modifier Low / Median / High Price $942.83 / $1,134.50 / $1,708.96	Professional		$942.83	$1,134.50	$1,708.96