Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.31 / $1,036.90 / $1,036.90	Facility		$858.31	$1,036.90	$1,036.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.31 / $1,036.90 / $1,103.23	Professional		$858.31	$1,036.90	$1,103.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.12 / $2,097.12 / $2,227.14	Facility		$2,097.12	$2,097.12	$2,227.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.64 / $1,148.64 / $1,481.91	Professional		$1,148.64	$1,148.64	$1,481.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,124.00 / $1,124.00 / $1,433.58	Professional		$1,124.00	$1,124.00	$1,433.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,207.09	Professional		$881.18	$881.18	$1,207.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,467.98 / $1,887.41 / $2,516.54	Professional		$1,467.98	$1,887.41	$2,516.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.17 / $1,289.76 / $2,352.98	Facility		$622.17	$1,289.76	$2,352.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $2,621.40 / $3,493.12	Professional		$1,086.00	$2,621.40	$3,493.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,148.95 / $1,582.67 / $2,502.86	Facility		$1,148.95	$1,582.67	$2,502.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,148.95 / $1,582.67 / $2,502.86	Professional		$1,148.95	$1,582.67	$2,502.86
United Facility/Professional Professional Modifier Low / Median / High Price $875.08 / $1,046.23 / $1,575.99	Professional		$875.08	$1,046.23	$1,575.99