Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.52 / $1,070.98 / $1,070.98	Facility		$886.52	$1,070.98	$1,070.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.52 / $1,070.98 / $1,275.67	Professional		$886.52	$1,070.98	$1,275.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,166.04 / $2,166.04 / $2,300.33	Facility		$2,166.04	$2,166.04	$2,300.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.95 / $1,258.95 / $1,632.53	Professional		$1,258.95	$1,258.95	$1,632.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,161.00 / $1,480.69	Professional		$1,161.00	$1,161.00	$1,480.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.83 / $1,306.07 / $1,306.07	Facility		$1,157.83	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $1,306.07	Professional		$953.43	$953.43	$1,306.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,516.23 / $1,949.44 / $2,599.25	Professional		$1,516.23	$1,949.44	$2,599.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,332.15 / $2,430.33	Facility		$673.20	$1,332.15	$2,430.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $2,707.55 / $3,607.92	Professional		$1,175.00	$2,707.55	$3,607.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,186.71 / $1,634.69 / $2,585.12	Facility		$1,186.71	$1,634.69	$2,585.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,186.71 / $1,634.69 / $2,585.12	Professional		$1,186.71	$1,634.69	$2,585.12
United Facility/Professional Professional Modifier Low / Median / High Price $946.83 / $1,080.60 / $1,627.79	Professional		$946.83	$1,080.60	$1,627.79