Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.07 / $999.16 / $999.16	Facility		$827.07	$999.16	$999.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.07 / $999.16 / $1,127.00	Professional		$827.07	$999.16	$1,127.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.79 / $2,020.79 / $2,146.08	Facility		$2,020.79	$2,020.79	$2,146.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.53 / $1,130.53 / $1,455.00	Professional		$1,130.53	$1,130.53	$1,455.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,084.00 / $1,084.00 / $1,381.40	Professional		$1,084.00	$1,084.00	$1,381.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,080.20 / $1,172.51 / $1,172.51	Facility		$1,080.20	$1,172.51	$1,172.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $1,172.51	Professional		$855.93	$855.93	$1,172.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,414.55 / $1,818.71 / $2,424.94	Professional		$1,414.55	$1,818.71	$2,424.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $604.35 / $1,242.83 / $2,267.38	Facility		$604.35	$1,242.83	$2,267.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $2,525.98 / $3,365.99	Professional		$1,083.00	$2,525.98	$3,365.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,107.14 / $1,525.08 / $2,411.79	Facility		$1,107.14	$1,525.08	$2,411.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,107.14 / $1,525.08 / $2,411.79	Professional		$1,107.14	$1,525.08	$2,411.79
United Facility/Professional Professional Modifier Low / Median / High Price $911.19 / $1,008.16 / $1,518.65	Professional		$911.19	$1,008.16	$1,518.65