Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,491.93 / $3,491.93 / $3,491.93	Facility		$3,491.93	$3,491.93	$3,491.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,825.37 / $3,491.93 / $4,399.43	Professional		$2,825.37	$3,491.93	$4,399.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,316.60 / $4,316.60 / $4,316.60	Professional		$4,316.60	$4,316.60	$4,316.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,138.60 / $4,138.60 / $4,138.68	Professional		$4,138.60	$4,138.60	$4,138.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $3,282.89	Facility		$3,282.89	$3,282.89	$3,282.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.23 / $3,282.89 / $3,282.89	Professional		$498.23	$3,282.89	$3,282.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,977.62 / $5,641.30 / $6,636.82	Professional		$4,977.62	$5,641.30	$6,636.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.41 / $3,042.17 / $5,805.40	Facility		$1,862.41	$3,042.17	$5,805.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,382.00 / $4,382.00 / $4,382.00	Professional		$4,382.00	$4,382.00	$4,382.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $372.47 / $2,395.15 / $5,271.81	Facility		$372.47	$2,395.15	$5,271.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $372.47 / $2,395.15 / $5,112.50	Professional		$372.47	$2,395.15	$5,112.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,483.21 / $2,881.68 / $4,445.47	Professional		$2,483.21	$2,881.68	$4,445.47