Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,511.89	Facility		$1,737.80	$1,737.80	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,691.53	Professional		$1,698.24	$2,344.23	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,951.21	Professional		$2,344.23	$2,344.23	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,818.38 / $2,818.38	Professional		$288.40	$2,818.38	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,011.87	Professional		$3,019.95	$3,548.13	$5,011.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,737.80 / $2,511.89	Facility		$416.87	$1,737.80	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,698.24 / $8,912.51	Facility		$275.42	$1,698.24	$8,912.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,778.28 / $8,912.51	Professional		$275.42	$1,778.28	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,023.29 / $2,290.87	Facility		$138.04	$1,023.29	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,818.38	Professional		$1,202.26	$1,698.24	$2,818.38