Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,819.70	Professional		$831.76	$1,023.29	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,089.30	Facility		$1,949.84	$1,949.84	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,290.87	Professional		$1,096.48	$1,096.48	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,348.96	Professional		$1,023.29	$1,023.29	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,122.02	Facility		$1,000.00	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,122.02	Professional		$831.76	$831.76	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,754.23	Professional		$1,380.38	$1,949.84	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,949.84	Professional		$933.25	$1,288.25	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,570.40	Facility		$831.76	$1,412.54	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,288.25	Professional		$1,047.13	$1,258.93	$1,288.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $4,073.80	Facility		$1,047.13	$1,621.81	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $4,073.80	Professional		$1,047.13	$1,621.81	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,348.96 / $2,454.71	Facility		$676.08	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,445.44	Professional		$912.01	$954.99	$1,445.44