Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.18 / $1,553.18 / $1,553.18	Facility		$1,553.18	$1,553.18	$1,553.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.53 / $1,553.18 / $1,990.32	Professional		$1,128.53	$1,553.18	$1,990.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,924.11 / $1,924.11 / $1,924.11	Professional		$1,924.11	$1,924.11	$1,924.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,602.16 / $1,602.16 / $1,786.82	Professional		$1,602.16	$1,602.16	$1,786.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $1,450.41	Facility		$1,450.41	$1,450.41	$1,450.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $1,232.84 / $1,450.41	Professional		$184.74	$1,232.84	$1,450.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,916.09 / $2,299.31 / $2,911.00	Professional		$1,916.09	$2,299.31	$2,911.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $1,128.53 / $1,553.18	Facility		$261.39	$1,128.53	$1,553.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,647.59 / $1,647.59 / $1,647.59	Professional		$1,647.59	$1,647.59	$1,647.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.78 / $287.57 / $2,070.90	Facility		$164.78	$287.57	$2,070.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $287.57 / $2,070.90	Professional		$164.78	$287.57	$2,070.90
United Facility/Professional Professional Modifier Low / Median / High Price $939.35 / $1,090.10 / $1,647.56	Professional		$939.35	$1,090.10	$1,647.56