Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,348.96	Professional		$912.01	$1,258.93	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $398.11 / $398.11	Professional		$154.88	$398.11	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,187.76	Professional		$1,584.89	$1,778.28	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $851.14 / $1,258.93	Facility		$208.93	$851.14	$1,258.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $1,659.59	Facility		$134.90	$239.88	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $1,659.59	Professional		$134.90	$239.88	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $537.03 / $1,174.90	Facility		$70.79	$537.03	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,479.11	Professional		$616.60	$870.96	$1,479.11