Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,462.78 / $1,462.78	Facility		$1,393.12	$1,462.78	$1,462.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,462.78	Professional		$1,393.12	$1,393.12	$1,462.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,867.33	Professional		$1,393.12	$1,393.12	$1,867.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,314.26 / $1,393.12	Facility		$1,314.26	$1,314.26	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.15 / $1,393.12 / $2,106.91	Professional		$1,184.15	$1,393.12	$2,106.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,462.78 / $2,340.00	Facility		$1,393.12	$1,462.78	$2,340.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,034.08 / $2,318.85 / $3,942.48	Facility		$2,034.08	$2,318.85	$3,942.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,034.08 / $2,318.85 / $3,942.48	Professional		$2,034.08	$2,318.85	$3,942.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,531.99	Professional		$1,393.12	$1,393.12	$1,531.99