Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,200.53 / $4,200.53 / $4,200.53	Facility		$4,200.53	$4,200.53	$4,200.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,916.38 / $4,200.53 / $5,175.20	Professional		$1,916.38	$4,200.53	$5,175.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,415.20 / $5,415.20 / $5,415.20	Professional		$5,415.20	$5,415.20	$5,415.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,165.84 / $4,165.84 / $4,646.04	Professional		$4,165.84	$4,165.84	$4,646.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $2,900.00 / $4,927.32	Facility		$2,900.00	$2,900.00	$4,927.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.00 / $2,900.00 / $2,987.00	Professional		$2,465.00	$2,900.00	$2,987.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,982.24 / $5,978.69 / $7,905.16	Professional		$4,982.24	$5,978.69	$7,905.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $679.65 / $2,752.58 / $4,200.53	Facility		$679.65	$2,752.58	$4,200.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,378.00 / $4,378.00 / $4,378.00	Professional		$4,378.00	$4,378.00	$4,378.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $448.06 / $777.73 / $5,600.70	Facility		$448.06	$777.73	$5,600.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $448.06 / $777.73 / $5,600.70	Professional		$448.06	$777.73	$5,600.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,480.76 / $2,860.46 / $4,441.08	Professional		$2,480.76	$2,860.46	$4,441.08