Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,702.69 / $3,535.73 / $3,535.73	Facility		$2,702.69	$3,535.73	$3,535.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,702.69 / $3,535.73 / $4,815.28	Professional		$2,702.69	$3,535.73	$4,815.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,327.68 / $4,327.68 / $4,327.68	Professional		$4,327.68	$4,327.68	$4,327.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,019.89 / $5,019.89 / $5,019.89	Professional		$5,019.89	$5,019.89	$5,019.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $3,417.67 / $4,884.46	Facility		$200.00	$3,417.67	$4,884.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $3,344.98 / $3,417.67	Professional		$200.00	$3,344.98	$3,417.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,518.14 / $4,259.54 / $5,731.02	Professional		$3,518.14	$4,259.54	$5,731.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $587.82 / $2,818.64 / $4,237.04	Facility		$587.82	$2,818.64	$4,237.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,095.34 / $5,095.34 / $5,095.34	Professional		$5,095.34	$5,095.34	$5,095.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.55 / $2,030.64 / $7,344.04	Facility		$384.55	$2,030.64	$7,344.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $384.55 / $2,238.71 / $7,344.04	Professional		$384.55	$2,238.71	$7,344.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,480.15 / $2,937.86 / $4,833.00	Professional		$2,480.15	$2,937.86	$4,833.00