Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,513.56	Facility		$1,412.54	$1,412.54	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,737.80	Professional		$1,412.54	$1,412.54	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,344.23	Professional		$1,380.38	$1,380.38	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,137.96	Professional		$1,412.54	$1,412.54	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Facility		$1,348.96	$1,348.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $1,584.89	Professional		$120.23	$173.78	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,479.11 / $2,398.83	Facility		$186.21	$1,479.11	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,412.54 / $1,412.54	Professional		$109.65	$1,412.54	$1,412.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,818.38	Facility		$1,318.26	$1,659.59	$2,818.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,818.38	Professional		$1,318.26	$1,659.59	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,148.15 / $1,445.44	Professional		$125.89	$1,148.15	$1,445.44