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 / $2,062.98	Facility		$1,473.30	$1,473.30	$2,062.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.30 / $1,473.30 / $2,449.04	Professional		$1,473.30	$1,473.30	$2,449.04
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 $2,078.40 / $2,078.40 / $2,797.60	Professional		$2,078.40	$2,078.40	$2,797.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,095.19 / $2,095.19 / $2,576.44	Facility		$2,095.19	$2,095.19	$2,576.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $2,147.58	Professional		$192.51	$1,472.88	$2,147.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.13 / $1,858.95 / $2,457.94	Professional		$1,549.13	$1,858.95	$2,457.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $244.93 / $2,062.98 / $2,269.28	Facility		$244.93	$2,062.98	$2,269.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,850.00 / $4,850.00 / $4,850.00	Professional		$4,850.00	$4,850.00	$4,850.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $176.80 / $636.48 / $4,837.21	Facility		$176.80	$636.48	$4,837.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $846.14 / $4,837.21	Professional		$176.80	$846.14	$4,837.21
United Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $224.62 / $2,475.60	Professional		$157.97	$224.62	$2,475.60