Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.75 / $1,665.75 / $1,665.75	Facility		$1,665.75	$1,665.75	$1,665.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.95 / $1,665.75 / $2,052.23	Professional		$759.95	$1,665.75	$2,052.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,984.08 / $1,984.08 / $1,984.08	Professional		$1,984.08	$1,984.08	$1,984.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,652.00 / $1,652.00 / $1,842.40	Professional		$1,652.00	$1,652.00	$1,842.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,953.99	Facility		$1,208.78	$1,208.78	$1,953.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $1,208.78 / $1,245.04	Professional		$200.01	$1,208.78	$1,245.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,975.66 / $2,370.79 / $3,134.72	Professional		$1,975.66	$2,370.79	$3,134.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $1,091.58 / $1,665.75	Facility		$269.52	$1,091.58	$1,665.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $1,736.00 / $1,736.00	Professional		$1,736.00	$1,736.00	$1,736.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.68 / $308.42 / $2,221.00	Facility		$177.68	$308.42	$2,221.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $308.42 / $2,221.00	Professional		$177.68	$308.42	$2,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.77 / $1,144.45 / $1,873.36	Professional		$983.77	$1,144.45	$1,873.36