Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,171.90 / $2,171.90	Facility		$2,068.46	$2,171.90	$2,171.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,171.90	Professional		$2,068.46	$2,068.46	$2,171.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,760.99	Professional		$2,068.46	$2,068.46	$2,760.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Professional		$258.39	$258.39	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $1,951.39 / $2,068.46	Facility		$1,951.39	$1,951.39	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,758.20 / $2,068.46 / $3,091.37	Professional		$1,758.20	$2,068.46	$3,091.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,309.55	Facility		$2,068.46	$2,068.46	$3,309.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $422.54 / $2,068.46	Professional		$208.00	$422.54	$2,068.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $395.00 / $450.30 / $592.50	Facility		$395.00	$450.30	$592.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $450.30 / $592.50	Professional		$395.00	$450.30	$592.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,595.92	Professional		$2,068.46	$2,068.46	$2,595.92