Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.15 / $3,600.15 / $3,600.15	Facility		$3,600.15	$3,600.15	$3,600.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,903.43 / $3,600.15 / $4,521.04	Professional		$2,903.43	$3,600.15	$4,521.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,393.09 / $4,393.09 / $4,393.09	Professional		$4,393.09	$4,393.09	$4,393.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,899.46 / $3,899.46 / $4,067.77	Professional		$3,899.46	$3,899.46	$4,067.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $4,198.50	Facility		$1,642.21	$1,642.21	$4,198.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.41 / $1,642.21 / $1,691.48	Professional		$513.41	$1,642.21	$1,691.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,132.04 / $6,158.44 / $6,842.72	Professional		$5,132.04	$6,158.44	$6,842.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,895.41 / $3,136.36 / $5,967.30	Facility		$1,895.41	$3,136.36	$5,967.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,490.00 / $3,490.00 / $3,490.00	Professional		$3,490.00	$3,490.00	$3,490.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.02 / $2,461.30 / $5,365.22	Facility		$384.02	$2,461.30	$5,365.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $384.02 / $2,461.30 / $5,197.89	Professional		$384.02	$2,461.30	$5,197.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,527.21 / $2,951.64 / $4,864.39	Professional		$2,527.21	$2,951.64	$4,864.39