Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.41 / $1,127.41 / $1,139.41	Facility		$1,127.41	$1,127.41	$1,139.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.08 / $1,127.41 / $1,175.08	Professional		$1,041.08	$1,127.41	$1,175.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.66 / $2,137.66 / $2,270.19	Facility		$2,137.66	$2,137.66	$2,270.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,315.88 / $1,315.88 / $1,644.98	Professional		$1,315.88	$1,315.88	$1,644.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,193.35 / $1,193.35 / $1,461.29	Professional		$1,193.35	$1,193.35	$1,461.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $1,222.54	Professional		$892.45	$892.45	$1,222.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.36 / $1,923.89 / $2,565.19	Professional		$1,496.36	$1,923.89	$2,565.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.14 / $1,314.69 / $2,398.46	Facility		$630.14	$1,314.69	$2,398.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,232.00 / $2,807.83 / $3,560.66	Professional		$1,232.00	$2,807.83	$3,560.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,171.16 / $1,613.27 / $2,613.89	Facility		$1,171.16	$1,613.27	$2,613.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,171.16 / $1,613.27 / $2,613.89	Professional		$1,171.16	$1,613.27	$2,613.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.67 / $2,608.67 / $3,130.40	Facility		$2,608.67	$2,608.67	$3,130.40
United Facility/Professional Professional Modifier Low / Median / High Price $976.08 / $1,066.46 / $1,529.95	Professional		$976.08	$1,066.46	$1,529.95