Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,269.90 / $1,269.90	Professional		$1,195.20	$1,269.90	$1,269.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,595.35	Professional		$1,195.20	$1,195.20	$1,595.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,361.70 / $1,361.70 / $1,361.70	Professional		$1,361.70	$1,361.70	$1,361.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.20 / $1,297.34 / $1,297.34	Professional		$1,153.20	$1,297.34	$1,297.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,494.00 / $1,934.06	Facility		$1,269.90	$1,494.00	$1,934.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,419.30 / $1,494.00 / $1,494.00	Professional		$1,419.30	$1,494.00	$1,494.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,419.30 / $1,867.50	Facility		$1,245.00	$1,419.30	$1,867.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,419.30 / $1,867.50	Professional		$1,245.00	$1,419.30	$1,867.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,441.50	Professional		$1,245.00	$1,245.00	$1,441.50