Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $977.24 / $977.24	Facility		$954.99	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,698.24	Professional		$794.33	$977.24	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,995.26	Facility		$1,862.09	$1,862.09	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,344.23	Professional		$1,122.02	$1,122.02	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,288.25	Professional		$977.24	$977.24	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,584.89	Facility		$1,023.29	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,584.89	Professional		$1,148.15	$1,148.15	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,630.27	Professional		$1,288.25	$1,862.09	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,819.70	Professional		$1,096.48	$1,230.27	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,570.40	Facility		$794.33	$1,380.38	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,202.26	Professional		$1,000.00	$1,096.48	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $3,981.07	Facility		$1,000.00	$1,513.56	$3,981.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $3,981.07	Professional		$1,000.00	$1,513.56	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,454.71	Facility		$691.83	$1,380.38	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $1,412.54	Professional		$851.14	$912.01	$1,412.54