Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.10 / $1,604.10 / $1,604.10	Facility		$1,604.10	$1,604.10	$1,604.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.78 / $1,604.10 / $1,976.24	Professional		$731.78	$1,604.10	$1,976.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,910.52 / $1,910.52 / $1,910.52	Professional		$1,910.52	$1,910.52	$1,910.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,590.82 / $1,590.82 / $1,774.15	Professional		$1,590.82	$1,590.82	$1,774.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $1,436.52 / $1,436.52	Facility		$192.60	$1,436.52	$1,436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $1,221.04 / $1,436.52	Professional		$183.43	$1,221.04	$1,436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,902.50 / $2,283.00 / $3,018.63	Professional		$1,902.50	$2,283.00	$3,018.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $1,051.05 / $1,604.10	Facility		$259.52	$1,051.05	$1,604.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,672.00 / $1,672.00 / $1,672.00	Professional		$1,672.00	$1,672.00	$1,672.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.10 / $296.99 / $2,138.80	Facility		$171.10	$296.99	$2,138.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $296.99 / $2,138.80	Professional		$171.10	$296.99	$2,138.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.68 / $1,092.43 / $1,695.84	Professional		$1,007.68	$1,092.43	$1,695.84