Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.28 / $1,402.28 / $1,402.28	Facility		$1,402.28	$1,402.28	$1,402.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.52 / $1,402.28 / $1,727.60	Professional		$1,152.52	$1,402.28	$1,727.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,997.01 / $1,997.01 / $1,997.01	Professional		$1,997.01	$1,997.01	$1,997.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,658.10 / $1,658.10 / $1,658.10	Professional		$1,658.10	$1,658.10	$1,658.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $2,583.51	Facility		$1,639.62	$1,639.62	$2,583.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,639.62 / $1,639.62	Professional		$198.09	$1,639.62	$1,639.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,956.87 / $2,217.78 / $2,609.15	Professional		$1,956.87	$2,217.78	$2,609.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.89 / $1,081.03 / $1,544.33	Facility		$226.89	$1,081.03	$1,544.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,720.00 / $1,720.00 / $1,720.00	Professional		$1,720.00	$1,720.00	$1,720.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $259.63 / $1,869.70	Facility		$143.40	$259.63	$1,869.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $259.63 / $1,869.70	Professional		$143.40	$259.63	$1,869.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.11 / $1,113.29 / $1,495.77	Professional		$1,023.11	$1,113.29	$1,495.77