Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.63 / $1,048.63 / $1,059.79	Facility		$1,048.63	$1,048.63	$1,059.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.36 / $1,048.63 / $1,092.98	Professional		$968.36	$1,048.63	$1,092.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.29 / $1,988.29 / $2,111.56	Facility		$1,988.29	$1,988.29	$2,111.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.77 / $1,111.77 / $1,415.91	Professional		$1,111.77	$1,111.77	$1,415.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,392.82	Professional		$1,392.82	$1,392.82	$1,392.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,317.79	Facility		$1,317.79	$1,317.79	$1,317.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $1,317.79	Professional		$961.99	$961.99	$1,317.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,391.80 / $1,789.46 / $2,385.94	Professional		$1,391.80	$1,789.46	$2,385.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $586.11 / $1,222.83 / $2,263.33	Facility		$586.11	$1,222.83	$2,263.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $2,611.64 / $3,311.86	Professional		$1,152.00	$2,611.64	$3,311.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,089.33 / $1,505.00 / $2,540.14	Facility		$1,089.33	$1,505.00	$2,540.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,089.33 / $1,505.00 / $2,540.14	Professional		$1,089.33	$1,505.00	$2,540.14
United Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $991.94 / $1,423.05	Professional		$907.89	$991.94	$1,423.05