Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.80 / $1,603.80 / $1,603.80	Facility		$1,603.80	$1,603.80	$1,603.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.40 / $1,603.80 / $2,051.12	Professional		$933.40	$1,603.80	$2,051.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,100.40 / $2,100.40 / $2,100.40	Professional		$2,100.40	$2,100.40	$2,100.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,013.82 / $2,013.82 / $2,013.90	Professional		$2,013.82	$2,013.82	$2,013.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,870.38	Facility		$1,350.00	$1,350.00	$1,870.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $1,390.50	Professional		$1,147.50	$1,350.00	$1,390.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,383.69 / $2,860.43 / $3,178.26	Professional		$2,383.69	$2,860.43	$3,178.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $1,603.80 / $2,666.40	Facility		$906.22	$1,603.80	$2,666.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,132.00 / $2,132.00 / $2,132.00	Professional		$2,132.00	$2,132.00	$2,132.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.70 / $1,116.75 / $2,565.17	Facility		$177.70	$1,116.75	$2,565.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $306.77 / $2,487.66	Professional		$177.70	$306.77	$2,487.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.88 / $1,363.50 / $2,207.26	Professional		$1,266.88	$1,363.50	$2,207.26