Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,795.00 / $7,160.00	Facility		$1,000.00	$2,795.00	$7,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,200.00	Professional		$1,000.00	$1,000.00	$2,200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.52 / $1,467.49 / $2,068.94	Professional		$1,074.52	$1,467.49	$2,068.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $503.51 / $1,948.26 / $2,786.66	Professional		$503.51	$1,948.26	$2,786.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.43 / $1,793.66 / $2,543.03	Facility		$909.43	$1,793.66	$2,543.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.42 / $581.07 / $1,052.80	Professional		$313.42	$581.07	$1,052.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.03 / $607.09 / $632.39	Professional		$516.03	$607.09	$632.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.10 / $1,390.00 / $1,930.00	Facility		$375.10	$1,390.00	$1,930.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $130.00 / $2,724.00	Professional		$89.00	$130.00	$2,724.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.43 / $430.64 / $992.97	Facility		$85.43	$430.64	$992.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $501.74 / $2,050.81	Professional		$89.17	$501.74	$2,050.81
United Facility/Professional Professional Modifier Low / Median / High Price $798.36 / $1,800.00 / $2,558.40	Professional		$798.36	$1,800.00	$2,558.40