Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.80 / $996.41 / $996.41	Facility		$824.80	$996.41	$996.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.80 / $996.41 / $1,108.98	Professional		$824.80	$996.41	$1,108.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,015.23 / $2,015.23 / $2,140.17	Facility		$2,015.23	$2,015.23	$2,140.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.35 / $1,123.35 / $1,435.07	Professional		$1,123.35	$1,123.35	$1,435.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,287.28 / $1,287.28 / $1,377.60	Professional		$1,287.28	$1,287.28	$1,377.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,335.63	Facility		$1,335.63	$1,335.63	$1,335.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,335.63	Professional		$975.01	$975.01	$1,335.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,410.66 / $1,813.71 / $2,418.28	Professional		$1,410.66	$1,813.71	$2,418.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $594.04 / $1,165.80 / $2,251.67	Facility		$594.04	$1,165.80	$2,251.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,519.00 / $2,519.04 / $3,356.73	Professional		$1,519.00	$2,519.04	$3,356.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,104.08 / $1,561.64 / $2,574.57	Facility		$1,104.08	$1,561.64	$2,574.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,104.08 / $1,561.64 / $2,574.57	Professional		$1,104.08	$1,561.64	$2,574.57
United Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $1,005.38 / $1,514.45	Professional		$850.78	$1,005.38	$1,514.45