Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,698.24	Professional		$870.96	$1,047.13	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,137.96	Facility		$2,041.74	$2,041.74	$2,137.96
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 $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,318.26	Facility		$870.96	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,318.26	Professional		$954.99	$954.99	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,818.38	Professional		$1,412.54	$2,041.74	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,995.26	Professional		$1,023.29	$1,318.26	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,570.40	Facility		$870.96	$1,445.44	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,951.21	Professional		$1,096.48	$1,318.26	$2,951.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $4,168.69	Facility		$1,096.48	$1,659.59	$4,168.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $4,168.69	Professional		$1,096.48	$1,659.59	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,884.03	Facility		$691.83	$1,380.38	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,479.11	Professional		$912.01	$1,000.00	$1,479.11