Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,105.53 / $1,105.53	Facility		$1,052.89	$1,105.53	$1,105.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,105.53	Professional		$1,052.89	$1,052.89	$1,105.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,411.29	Professional		$1,052.89	$1,052.89	$1,411.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.79 / $277.79 / $277.79	Professional		$277.79	$277.79	$277.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $993.29 / $1,052.89	Facility		$993.29	$993.29	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.96 / $897.54 / $1,052.89	Professional		$894.96	$897.54	$1,052.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $1,052.89 / $1,683.72	Facility		$998.00	$1,052.89	$1,683.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $391.00 / $496.18	Professional		$306.89	$391.00	$496.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $280.61 / $321.95 / $614.39	Facility		$280.61	$321.95	$614.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $295.38 / $321.95 / $614.39	Professional		$295.38	$321.95	$614.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.30 / $1,052.89 / $1,105.53	Professional		$1,021.30	$1,052.89	$1,105.53