Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,923.60 / $7,460.33	Facility		$2,784.38	$2,923.60	$7,460.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,923.60	Professional		$2,784.38	$2,784.38	$2,923.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,716.59	Professional		$2,784.38	$2,784.38	$3,716.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.77 / $217.77 / $217.77	Professional		$217.77	$217.77	$217.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,626.77 / $2,784.38	Facility		$2,626.77	$2,626.77	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,366.71 / $2,784.38 / $3,780.00	Professional		$2,366.71	$2,784.38	$3,780.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $2,784.38 / $4,200.00	Facility		$197.96	$2,784.38	$4,200.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $164.61 / $235.18	Professional		$129.80	$164.61	$235.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $115.51 / $243.39	Facility		$96.26	$115.51	$243.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $115.51 / $243.39	Professional		$96.26	$115.51	$243.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,494.40	Professional		$2,784.38	$2,784.38	$3,494.40