Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,569.13 / $1,569.13	Facility		$1,494.41	$1,569.13	$1,569.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,569.13	Professional		$1,494.41	$1,494.41	$1,569.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,003.10	Professional		$1,494.41	$1,494.41	$2,003.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.86 / $1,445.86 / $2,119.41	Professional		$1,445.86	$1,445.86	$2,119.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,409.82 / $1,494.41	Facility		$1,409.82	$1,409.82	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.25 / $1,494.41 / $2,547.46	Professional		$1,270.25	$1,494.41	$2,547.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,569.13 / $2,525.55	Facility		$1,494.41	$1,569.13	$2,525.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,388.00 / $2,364.78 / $3,616.80	Professional		$1,388.00	$2,364.78	$3,616.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,793.29 / $2,689.26	Facility		$1,494.41	$1,793.29	$2,689.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,793.29 / $2,689.26	Professional		$1,494.41	$1,793.29	$2,689.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,697.35	Professional		$1,494.41	$1,494.41	$1,697.35