Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.30 / $1,473.30 / $2,354.80	Facility		$1,473.30	$1,473.30	$2,354.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.30 / $2,354.80 / $2,590.28	Professional		$1,473.30	$2,354.80	$2,590.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $1,751.98 / $1,751.98	Professional		$1,751.98	$1,751.98	$1,751.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,054.10 / $2,054.10 / $2,670.33	Professional		$2,054.10	$2,054.10	$2,670.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,095.19 / $3,360.51 / $3,360.51	Facility		$2,095.19	$3,360.51	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $1,472.88	Professional		$192.51	$1,472.88	$1,472.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.13 / $1,875.58 / $4,586.00	Professional		$1,549.13	$1,875.58	$4,586.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $244.93 / $2,354.80 / $2,590.28	Facility		$244.93	$2,354.80	$2,590.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,830.00 / $6,830.00 / $6,830.00	Professional		$6,830.00	$6,830.00	$6,830.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.60 / $844.16 / $6,682.97	Facility		$171.60	$844.16	$6,682.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $879.34 / $6,682.97	Professional		$171.60	$879.34	$6,682.97
United Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $273.92 / $3,485.52	Professional		$175.58	$273.92	$3,485.52