Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,238.72	Professional		$1,023.29	$1,412.54	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,235.94	Professional		$1,548.82	$1,548.82	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,466.84 / $4,897.79	Professional		$4,168.69	$4,466.84	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $7,943.28	Professional		$6,606.93	$6,606.93	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $7,585.78	Professional		$5,128.61	$6,025.60	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,073.80 / $7,413.10	Facility		$1,621.81	$4,073.80	$7,413.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,801.89	Facility		$1,905.46	$2,187.76	$3,801.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,548.13	Professional		$1,905.46	$2,187.76	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $2,511.89	Professional		$794.33	$954.99	$2,511.89