Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.00 / $1,011.00 / $1,011.00	Facility		$1,011.00	$1,011.00	$1,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.22 / $1,011.00 / $1,245.52	Professional		$706.22	$1,011.00	$1,245.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.98 / $887.98 / $887.98	Professional		$887.98	$887.98	$887.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $899.92 / $899.92 / $1,003.59	Professional		$899.92	$899.92	$1,003.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $1,140.20 / $1,140.20	Professional		$115.61	$1,140.20	$1,140.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.22 / $1,359.12 / $1,598.96	Professional		$1,199.22	$1,359.12	$1,598.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $662.53 / $1,011.00	Facility		$163.57	$662.53	$1,011.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.84 / $163.57 / $1,348.00	Facility		$107.84	$163.57	$1,348.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $187.18 / $1,348.00	Professional		$107.84	$187.18	$1,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.67 / $682.18 / $1,035.84	Professional		$480.67	$682.18	$1,035.84