Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.48 / $1,133.48 / $1,133.48	Facility		$1,133.48	$1,133.48	$1,133.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.75 / $1,133.48 / $1,302.32	Professional		$791.75	$1,133.48	$1,302.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.59 / $995.59 / $995.59	Professional		$995.59	$995.59	$995.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,124.06 / $1,124.06 / $1,253.63	Professional		$1,124.06	$1,124.06	$1,253.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $511.03 / $511.03	Professional		$136.10	$511.03	$511.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.39 / $1,523.64 / $1,792.52	Professional		$1,344.39	$1,523.64	$1,792.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $742.64 / $1,133.48	Facility		$183.39	$742.64	$1,133.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.90 / $183.39 / $1,511.30	Facility		$120.90	$183.39	$1,511.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $209.86 / $1,511.30	Professional		$120.90	$209.86	$1,511.30
United Facility/Professional Professional Modifier Low / Median / High Price $538.97 / $764.80 / $1,028.61	Professional		$538.97	$764.80	$1,028.61