Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $4,786.30	Professional		$3,162.28	$3,801.89	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,011.87	Professional		$4,677.35	$4,677.35	$5,011.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $3,467.37 / $3,467.37	Professional		$549.54	$3,467.37	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,309.57 / $7,413.10	Professional		$5,495.41	$6,309.57	$7,413.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,786.30	Professional		$3,715.35	$3,715.35	$4,786.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $6,456.54	Facility		$1,995.26	$3,548.13	$6,456.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,630.27 / $5,754.40	Facility		$407.38	$2,630.27	$5,754.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $2,630.27 / $5,495.41	Professional		$407.38	$2,630.27	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,137.96 / $4,168.69	Facility		$263.03	$2,137.96	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Professional		$2,691.53	$3,162.28	$5,011.87