Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,344.61	Facility		$2,147.08	$2,147.08	$2,344.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,096.56 / $2,147.08 / $2,147.08	Professional		$2,096.56	$2,147.08	$2,147.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.64 / $1,630.27 / $2,626.98	Facility		$772.64	$1,630.27	$2,626.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,484.75	Professional		$2,020.78	$2,020.78	$2,484.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,020.78	Professional		$2,020.78	$2,020.78	$2,020.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $422.89 / $2,399.67	Professional		$359.46	$422.89	$2,399.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,525.98 / $3,542.68	Facility		$2,147.08	$2,525.98	$3,542.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $459.95 / $554.00 / $718.51	Professional		$459.95	$554.00	$718.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,999.73 / $2,399.67 / $3,094.32	Facility		$1,999.73	$2,399.67	$3,094.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,999.73 / $2,399.67 / $3,094.32	Professional		$1,999.73	$2,399.67	$3,094.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,525.98	Professional		$2,104.98	$2,104.98	$2,525.98