Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.76 / $970.76 / $981.09	Facility		$970.76	$970.76	$981.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.76 / $970.76 / $1,105.50	Professional		$970.76	$970.76	$1,105.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,840.64 / $1,840.64 / $1,954.76	Facility		$1,840.64	$1,840.64	$1,954.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.51 / $1,124.51 / $1,451.32	Professional		$1,124.51	$1,124.51	$1,451.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $987.00 / $1,031.51 / $1,258.25	Professional		$987.00	$1,031.51	$1,258.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,408.48	Facility		$1,408.48	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,408.48	Professional		$1,028.19	$1,028.19	$1,408.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.45 / $1,656.58 / $2,208.77	Professional		$1,288.45	$1,656.58	$2,208.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $592.83 / $1,167.50 / $2,116.73	Facility		$592.83	$1,167.50	$2,116.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $2,417.69 / $3,065.91	Professional		$1,035.00	$2,417.69	$3,065.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,008.43 / $1,389.12 / $2,196.77	Facility		$1,008.43	$1,389.12	$2,196.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,008.43 / $1,389.12 / $2,196.77	Professional		$1,008.43	$1,389.12	$2,196.77
United Facility/Professional Professional Modifier Low / Median / High Price $829.96 / $918.28 / $1,415.04	Professional		$829.96	$918.28	$1,415.04