Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,096.48	Professional		$1,000.00	$1,047.13	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,348.96	Professional		$794.33	$794.33	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $1,348.96	Professional		$275.42	$275.42	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,047.13	Facility		$1,000.00	$1,000.00	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $891.25	Professional		$120.23	$173.78	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,047.13 / $1,698.24	Facility		$331.13	$1,047.13	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,000.00 / $1,000.00	Professional		$109.65	$1,000.00	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Facility		$114.82	$138.04	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Professional		$114.82	$138.04	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00