Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,231.19 / $1,231.19	Facility		$1,172.56	$1,231.19	$1,231.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,231.19	Professional		$1,172.56	$1,172.56	$1,231.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,571.69	Professional		$1,172.56	$1,172.56	$1,571.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.55 / $295.55 / $1,421.00	Professional		$295.55	$295.55	$1,421.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,106.19 / $1,172.56	Facility		$1,106.19	$1,106.19	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.68 / $1,126.52 / $1,172.56	Professional		$996.68	$1,126.52	$1,172.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,875.10	Facility		$1,172.56	$1,172.56	$1,875.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.86 / $465.42 / $512.00	Professional		$230.86	$465.42	$512.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $285.50 / $371.15 / $681.17	Facility		$285.50	$371.15	$681.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $371.15 / $681.17	Professional		$285.50	$371.15	$681.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,251.11	Professional		$1,172.56	$1,172.56	$1,251.11