Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.17 / $1,006.52 / $1,006.52	Facility		$833.17	$1,006.52	$1,006.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.17 / $1,006.52 / $1,383.10	Professional		$833.17	$1,006.52	$1,383.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,035.70 / $2,035.70 / $2,161.91	Facility		$2,035.70	$2,035.70	$2,161.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.26 / $1,176.26 / $1,541.15	Professional		$1,176.26	$1,176.26	$1,541.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,092.00 / $1,391.59	Professional		$1,092.00	$1,092.00	$1,391.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.15 / $1,206.80 / $1,206.80	Facility		$1,088.15	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $1,206.80	Professional		$880.96	$880.96	$1,206.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,424.99 / $1,832.13 / $2,442.84	Professional		$1,424.99	$1,832.13	$2,442.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.02 / $1,251.98 / $2,284.07	Facility		$622.02	$1,251.98	$2,284.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,088.00 / $2,544.63 / $3,390.82	Professional		$1,088.00	$2,544.63	$3,390.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,115.30 / $1,536.32 / $2,429.56	Facility		$1,115.30	$1,536.32	$2,429.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,115.30 / $1,536.32 / $2,429.56	Professional		$1,115.30	$1,536.32	$2,429.56
United Facility/Professional Professional Modifier Low / Median / High Price $908.69 / $1,015.58 / $1,529.83	Professional		$908.69	$1,015.58	$1,529.83