Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.90 / $1,049.69 / $1,049.69	Facility		$868.90	$1,049.69	$1,049.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.90 / $1,049.69 / $1,168.28	Professional		$868.90	$1,049.69	$1,168.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.00 / $2,123.00 / $2,254.63	Facility		$2,123.00	$2,123.00	$2,254.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.67 / $1,181.67 / $1,511.83	Professional		$1,181.67	$1,181.67	$1,511.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,356.13 / $1,356.13 / $1,451.27	Professional		$1,356.13	$1,356.13	$1,451.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $1,540.39	Professional		$1,124.48	$1,124.48	$1,540.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.10 / $1,910.70 / $2,547.60	Professional		$1,486.10	$1,910.70	$2,547.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $1,228.14 / $2,372.10	Facility		$625.83	$1,228.14	$2,372.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,600.27 / $2,653.75 / $3,536.23	Professional		$1,600.27	$2,653.75	$3,536.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,163.13 / $1,609.52 / $2,653.75	Facility		$1,163.13	$1,609.52	$2,653.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,163.13 / $1,609.52 / $2,653.75	Professional		$1,163.13	$1,609.52	$2,653.75
United Facility/Professional Professional Modifier Low / Median / High Price $896.29 / $1,059.14 / $1,595.45	Professional		$896.29	$1,059.14	$1,595.45