Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.16 / $1,000.47 / $1,000.47	Facility		$828.16	$1,000.47	$1,000.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.78 / $1,000.47 / $1,158.71	Professional		$827.78	$1,000.47	$1,158.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.44 / $2,023.44 / $2,148.89	Facility		$2,023.44	$2,023.44	$2,148.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.33 / $1,086.33 / $1,388.89	Professional		$1,086.33	$1,086.33	$1,388.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,085.00 / $1,085.00 / $1,383.21	Professional		$1,085.00	$1,085.00	$1,383.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,352.01	Professional		$1,018.74	$1,018.74	$1,352.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,416.41 / $1,821.10 / $2,428.13	Professional		$1,416.41	$1,821.10	$2,428.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $574.47 / $1,244.46 / $2,270.34	Facility		$574.47	$1,244.46	$2,270.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $2,529.30 / $3,370.41	Professional		$1,045.00	$2,529.30	$3,370.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,108.58 / $1,527.08 / $2,414.94	Facility		$1,108.58	$1,527.08	$2,414.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,108.58 / $1,527.08 / $2,414.94	Professional		$1,108.58	$1,527.08	$2,414.94
United Facility/Professional Professional Modifier Low / Median / High Price $822.74 / $1,009.48 / $1,516.74	Professional		$822.74	$1,009.48	$1,516.74