Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,136.26 / $2,136.26 / $2,236.79	Professional		$2,136.26	$2,136.26	$2,236.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $203.55 / $424.76	Professional		$203.55	$203.55	$424.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,010.60 / $2,261.92 / $2,872.65	Professional		$2,010.60	$2,261.92	$2,872.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,061.40 / $3,061.40 / $3,667.90	Professional		$3,061.40	$3,061.40	$3,667.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,513.25 / $2,764.58 / $3,518.55	Professional		$2,513.25	$2,764.58	$3,518.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,136.26 / $3,909.36 / $4,950.00	Facility		$2,136.26	$3,909.36	$4,950.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,443.00 / $7,425.00 / $11,880.00	Professional		$3,443.00	$7,425.00	$11,880.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,759.28 / $2,890.24 / $4,649.51	Facility		$1,759.28	$2,890.24	$4,649.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,759.28 / $2,890.24 / $4,649.51	Professional		$1,759.28	$2,890.24	$4,649.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,507.95 / $2,890.24	Professional		$1,055.57	$1,507.95	$2,890.24