Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,714.25 / $2,714.25 / $2,714.25	Facility		$2,714.25	$2,714.25	$2,714.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.86 / $2,714.25 / $3,481.20	Professional		$1,596.86	$2,714.25	$3,481.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,593.34 / $3,593.34 / $3,593.34	Professional		$3,593.34	$3,593.34	$3,593.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,161.50 / $3,161.50 / $3,161.50	Professional		$3,161.50	$3,161.50	$3,161.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,165.30	Facility		$2,200.00	$2,200.00	$3,165.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,200.00 / $2,266.00	Professional		$1,870.00	$2,200.00	$2,266.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,034.32 / $4,841.18 / $6,401.12	Professional		$4,034.32	$4,841.18	$6,401.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $2,592.00 / $4,512.60	Facility		$1,550.35	$2,592.00	$4,512.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,702.00 / $3,702.00 / $3,702.00	Professional		$3,702.00	$3,702.00	$3,702.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $307.62 / $1,895.40 / $4,432.35	Facility		$307.62	$1,895.40	$4,432.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $307.62 / $520.66 / $4,255.87	Professional		$307.62	$520.66	$4,255.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,150.21 / $2,320.56 / $3,667.78	Professional		$2,150.21	$2,320.56	$3,667.78