Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,299.15 / $1,299.15	Facility		$1,237.28	$1,299.15	$1,299.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,299.15	Professional		$1,237.28	$1,237.28	$1,299.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,658.45	Professional		$1,237.28	$1,237.28	$1,658.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $336.60 / $1,790.68	Professional		$336.60	$336.60	$1,790.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.25 / $1,167.25 / $1,237.28	Facility		$1,167.25	$1,167.25	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.69 / $1,237.28 / $1,511.64	Professional		$1,051.69	$1,237.28	$1,511.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,299.15 / $1,979.65	Facility		$1,237.28	$1,299.15	$1,979.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,565.00 / $2,575.00 / $3,511.85	Professional		$1,565.00	$2,575.00	$3,511.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,469.09 / $1,676.21 / $3,055.27	Facility		$1,469.09	$1,676.21	$3,055.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,469.09 / $1,676.21 / $3,055.27	Professional		$1,469.09	$1,676.21	$3,055.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.97 / $1,237.28 / $1,385.75	Professional		$1,055.97	$1,237.28	$1,385.75