Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,196.00 / $2,196.00 / $2,196.00	Facility		$2,196.00	$2,196.00	$2,196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,196.00 / $2,215.19 / $3,371.68	Professional		$2,196.00	$2,215.19	$3,371.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,230.86 / $2,230.86 / $2,230.86	Professional		$2,230.86	$2,230.86	$2,230.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,981.36 / $3,981.36 / $4,174.60	Professional		$3,981.36	$3,981.36	$4,174.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.40 / $2,446.40 / $2,792.28	Facility		$2,446.40	$2,446.40	$2,792.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.08 / $2,446.40 / $3,011.23	Professional		$321.08	$2,446.40	$3,011.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $365.09 / $2,718.32 / $3,071.70	Facility		$365.09	$2,718.32	$3,071.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,208.50 / $4,208.50 / $4,208.50	Professional		$4,208.50	$4,208.50	$4,208.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $248.88 / $565.16 / $4,506.30	Facility		$248.88	$565.16	$4,506.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.88 / $565.16 / $4,506.30	Professional		$248.88	$565.16	$4,506.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,418.23 / $1,844.36 / $2,917.63	Professional		$1,418.23	$1,844.36	$2,917.63