Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,041.74	Professional		$1,318.26	$1,584.89	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,290.87	Professional		$2,089.30	$2,089.30	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,862.09	Facility		$1,348.96	$1,348.96	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,380.38	Professional		$1,148.15	$1,348.96	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $3,235.94	Professional		$2,454.71	$2,754.23	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,137.96	Professional		$1,659.59	$1,659.59	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,754.23	Facility		$912.01	$1,621.81	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,122.02 / $2,570.40	Facility		$177.83	$1,122.02	$2,570.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,122.02 / $2,511.89	Professional		$169.82	$1,122.02	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $954.99 / $1,778.28	Facility		$114.82	$954.99	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,187.76	Professional		$1,202.26	$1,348.96	$2,187.76