Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.17 / $1,015.00 / $1,015.00	Facility		$840.17	$1,015.00	$1,015.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.52 / $967.41 / $1,015.00	Professional		$747.52	$967.41	$1,015.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,052.80 / $2,052.80 / $2,180.07	Facility		$2,052.80	$2,052.80	$2,180.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.22 / $943.22 / $1,242.94	Professional		$943.22	$943.22	$1,242.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,101.00 / $1,403.28	Professional		$1,101.00	$1,101.00	$1,403.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,097.30	Facility		$1,006.48	$1,006.48	$1,097.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,006.48	Professional		$734.73	$734.73	$1,006.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,436.96 / $1,847.52 / $2,463.36	Professional		$1,436.96	$1,847.52	$2,463.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $518.77 / $1,180.49 / $2,293.67	Facility		$518.77	$1,180.49	$2,293.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $2,566.00 / $3,419.31	Professional		$906.00	$2,566.00	$3,419.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,124.68 / $1,549.25 / $2,449.98	Facility		$1,124.68	$1,549.25	$2,449.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,124.68 / $1,549.25 / $2,449.98	Professional		$1,124.68	$1,549.25	$2,449.98
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.64 / $1,024.13 / $1,542.70	Professional		$729.64	$1,024.13	$1,542.70