Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.24 / $985.24 / $995.73	Facility		$985.24	$985.24	$995.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.04 / $985.24 / $1,180.83	Professional		$916.04	$985.24	$1,180.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,868.10 / $1,868.10 / $1,983.92	Facility		$1,868.10	$1,868.10	$1,983.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.33 / $1,131.33 / $1,487.17	Professional		$1,131.33	$1,131.33	$1,487.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,002.00 / $1,046.90 / $1,277.02	Professional		$1,002.00	$1,046.90	$1,277.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,167.30	Facility		$1,167.30	$1,167.30	$1,167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $1,167.30	Professional		$852.13	$852.13	$1,167.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.67 / $1,681.29 / $2,241.71	Professional		$1,307.67	$1,681.29	$2,241.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $601.66 / $1,152.73 / $2,126.51	Facility		$601.66	$1,152.73	$2,126.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $2,453.76 / $3,111.66	Professional		$1,050.00	$2,453.76	$3,111.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.48 / $1,403.89 / $2,229.54	Facility		$1,023.48	$1,403.89	$2,229.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.48 / $1,403.89 / $2,229.54	Professional		$1,023.48	$1,403.89	$2,229.54
United Facility/Professional Professional Modifier Low / Median / High Price $842.33 / $931.98 / $1,436.15	Professional		$842.33	$931.98	$1,436.15