Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $2,068.38 / $2,068.38	Facility		$1,969.89	$2,068.38	$2,068.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,068.38	Professional		$1,969.89	$1,969.89	$2,068.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,640.44	Professional		$1,969.89	$1,969.89	$2,640.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $1,858.38 / $1,969.89	Facility		$1,858.38	$1,858.38	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,674.41 / $1,969.89 / $2,431.94	Professional		$1,674.41	$1,969.89	$2,431.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,989.59 / $3,150.14	Facility		$1,969.89	$1,989.59	$3,150.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $666.90 / $1,969.89 / $1,969.89	Professional		$666.90	$1,969.89	$1,969.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,672.74 / $2,112.94 / $3,273.29	Facility		$1,672.74	$2,112.94	$3,273.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,672.74 / $2,112.94 / $3,273.29	Professional		$1,672.74	$2,112.94	$3,273.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,237.40	Professional		$1,969.89	$1,969.89	$2,237.40