Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,330.08 / $4,330.08 / $4,330.08	Facility		$4,330.08	$4,330.08	$4,330.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.08 / $2,321.98 / $2,554.17	Professional		$2,176.08	$2,321.98	$2,554.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.16 / $975.55 / $1,375.38	Professional		$767.16	$975.55	$1,375.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,025.89 / $1,388.31 / $1,569.86	Professional		$1,025.89	$1,388.31	$1,569.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.57 / $3,744.00 / $6,294.15	Facility		$1,168.57	$3,744.00	$6,294.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,597.18 / $5,597.18 / $5,597.18	Professional		$5,597.18	$5,597.18	$5,597.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,179.32 / $1,646.86 / $1,687.19	Professional		$1,179.32	$1,646.86	$1,687.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $972.73 / $1,483.05 / $1,835.34	Facility		$972.73	$1,483.05	$1,835.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,965.00 / $2,804.57	Professional		$75.00	$1,965.00	$2,804.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $973.15 / $1,668.34 / $4,949.47	Facility		$973.15	$1,668.34	$4,949.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $973.15 / $1,668.34 / $4,949.47	Professional		$973.15	$1,668.34	$4,949.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,245.79 / $2,488.96 / $5,948.06	Facility		$2,245.79	$2,488.96	$5,948.06
United Facility/Professional Professional Modifier Low / Median / High Price $777.38 / $1,340.28 / $2,070.38	Professional		$777.38	$1,340.28	$2,070.38