Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,496.15 / $2,496.15 / $2,496.15	Facility		$2,496.15	$2,496.15	$2,496.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.21 / $2,496.15 / $3,131.44	Professional		$1,779.21	$2,496.15	$3,131.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,033.82 / $3,033.82 / $3,033.82	Professional		$3,033.82	$3,033.82	$3,033.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,908.70 / $2,908.70 / $2,908.78	Professional		$2,908.70	$2,908.70	$2,908.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,399.94 / $2,399.94 / $2,910.96	Facility		$2,399.94	$2,399.94	$2,910.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $2,399.94 / $2,471.94	Professional		$355.90	$2,399.94	$2,471.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,553.99 / $4,264.79 / $5,639.00	Professional		$3,553.99	$4,264.79	$5,639.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,308.95 / $2,010.51 / $4,120.89	Facility		$1,308.95	$2,010.51	$4,120.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $266.26 / $1,704.80 / $3,742.21	Facility		$266.26	$1,704.80	$3,742.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $1,704.80 / $3,599.93	Professional		$266.26	$1,704.80	$3,599.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,745.27 / $2,042.34 / $3,227.52	Professional		$1,745.27	$2,042.34	$3,227.52