Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $1,017.02 / $1,027.84	Facility		$1,017.02	$1,017.02	$1,027.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.48 / $1,017.02 / $1,143.15	Professional		$877.48	$1,017.02	$1,143.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,928.36 / $1,928.36 / $2,047.92	Facility		$1,928.36	$1,928.36	$2,047.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.56 / $1,107.56 / $1,455.83	Professional		$1,107.56	$1,107.56	$1,455.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,034.00 / $1,034.00 / $1,318.21	Professional		$1,034.00	$1,034.00	$1,318.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,132.82	Professional		$826.96	$826.96	$1,132.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,349.85 / $1,735.52 / $2,314.03	Professional		$1,349.85	$1,735.52	$2,314.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $583.89 / $1,198.31 / $2,217.61	Facility		$583.89	$1,198.31	$2,217.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,205.00 / $2,532.91 / $3,212.02	Professional		$1,205.00	$2,532.91	$3,212.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,056.49 / $1,455.31 / $2,301.44	Facility		$1,056.49	$1,455.31	$2,301.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,056.49 / $1,455.31 / $2,301.44	Professional		$1,056.49	$1,455.31	$2,301.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $901.94 / $962.03 / $1,393.73	Professional		$901.94	$962.03	$1,393.73