Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.15 / $1,023.15 / $1,034.05	Facility		$1,023.15	$1,023.15	$1,034.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.26 / $1,023.15 / $1,165.17	Professional		$947.26	$1,023.15	$1,165.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,939.99 / $1,939.99 / $2,060.27	Facility		$1,939.99	$1,939.99	$2,060.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.19 / $1,185.19 / $1,481.60	Professional		$1,185.19	$1,185.19	$1,481.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Professional		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,254.96	Professional		$916.12	$916.12	$1,254.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.99 / $1,745.99 / $2,327.98	Professional		$1,357.99	$1,745.99	$2,327.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $624.82 / $1,193.13 / $2,208.34	Facility		$624.82	$1,193.13	$2,208.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,091.00 / $2,548.17 / $3,231.39	Professional		$1,091.00	$2,548.17	$3,231.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,062.85 / $1,464.09 / $2,315.34	Facility		$1,062.85	$1,464.09	$2,315.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,062.85 / $1,464.09 / $2,315.34	Professional		$1,062.85	$1,464.09	$2,315.34
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $967.84 / $1,491.41	Professional		$902.00	$967.84	$1,491.41