Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,997.75 / $1,997.75	Facility		$1,902.62	$1,997.75	$1,997.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,997.75	Professional		$1,902.62	$1,902.62	$1,997.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,550.27	Professional		$1,902.62	$1,902.62	$2,550.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $153.13 / $3,262.50	Professional		$153.13	$153.13	$3,262.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,794.93 / $1,902.62	Facility		$1,794.93	$1,794.93	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,617.23 / $1,902.62 / $2,273.14	Professional		$1,617.23	$1,902.62	$2,273.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $3,042.57	Facility		$1,902.62	$1,902.62	$3,042.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $164.83 / $1,902.62	Professional		$81.00	$164.83	$1,902.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $81.97 / $161.44	Facility		$64.29	$81.97	$161.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $81.97 / $161.44	Professional		$64.29	$81.97	$161.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.98 / $1,902.62 / $2,146.85	Professional		$1,875.98	$1,902.62	$2,146.85