Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,737.80	Professional		$1,659.59	$1,698.24	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $3,162.28	Facility		$933.25	$1,862.09	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,754.23	Professional		$1,659.59	$1,659.59	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,290.87	Professional		$1,621.81	$1,949.84	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,019.95	Facility		$1,698.24	$2,041.74	$3,019.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,511.89	Facility		$1,621.81	$1,949.84	$2,511.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,511.89	Professional		$1,621.81	$1,949.84	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $2,041.74	Facility		$794.33	$933.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,041.74	Professional		$1,698.24	$1,698.24	$2,041.74