Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,318.05 / $4,318.05 / $4,318.05	Facility		$4,318.05	$4,318.05	$4,318.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,251.00 / $4,318.05 / $5,389.12	Professional		$2,251.00	$4,318.05	$5,389.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,969.71 / $4,969.71 / $4,969.71	Professional		$4,969.71	$4,969.71	$4,969.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,387.10 / $4,387.10 / $4,892.79	Professional		$4,387.10	$4,387.10	$4,892.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.89 / $5,106.14 / $5,106.14	Professional		$616.89	$5,106.14	$5,106.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,424.68 / $6,147.98 / $7,232.91	Professional		$5,424.68	$6,147.98	$7,232.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $516.07 / $2,251.00 / $4,318.05	Facility		$516.07	$2,251.00	$4,318.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,829.00 / $2,829.00 / $2,829.00	Professional		$2,829.00	$2,829.00	$2,829.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $460.59 / $698.65 / $5,980.09	Facility		$460.59	$698.65	$5,980.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $460.59 / $698.65 / $5,980.09	Professional		$460.59	$698.65	$5,980.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,091.96 / $2,380.52 / $4,100.49	Professional		$2,091.96	$2,380.52	$4,100.49