Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.10 / $1,415.10 / $1,415.10	Facility		$1,415.10	$1,415.10	$1,415.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.61 / $1,415.10 / $1,743.44	Professional		$645.61	$1,415.10	$1,743.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.57 / $1,685.57 / $1,685.57	Professional		$1,685.57	$1,685.57	$1,685.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,403.43 / $1,403.43 / $1,565.20	Professional		$1,403.43	$1,403.43	$1,565.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.51 / $1,082.51 / $1,659.96	Facility		$1,082.51	$1,082.51	$1,659.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $1,082.51 / $1,114.99	Professional		$169.91	$1,082.51	$1,114.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,678.39 / $2,014.07 / $2,663.04	Professional		$1,678.39	$2,014.07	$2,663.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $228.97 / $927.19 / $1,415.10	Facility		$228.97	$927.19	$1,415.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,475.00 / $1,475.00 / $1,475.00	Professional		$1,475.00	$1,475.00	$1,475.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.94 / $262.01 / $1,886.80	Facility		$150.94	$262.01	$1,886.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $262.01 / $1,886.80	Professional		$150.94	$262.01	$1,886.80
United Facility/Professional Professional Modifier Low / Median / High Price $835.75 / $1,032.40 / $1,496.17	Professional		$835.75	$1,032.40	$1,496.17