Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Facility		$1,663.50	$1,663.50	$1,663.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,713.40	Professional		$1,663.50	$1,663.50	$1,713.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,473.99 / $3,473.99 / $3,473.99	Professional		$3,473.99	$3,473.99	$3,473.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,658.00 / $5,658.00 / $5,658.00	Professional		$5,658.00	$5,658.00	$5,658.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,713.41 / $3,098.13	Facility		$1,663.50	$1,713.41	$3,098.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,109.80 / $4,109.80 / $4,109.80	Professional		$4,109.80	$4,109.80	$4,109.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $341.10 / $391.41 / $4,696.92	Facility		$341.10	$391.41	$4,696.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $341.10 / $391.41 / $4,696.92	Professional		$341.10	$391.41	$4,696.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,487.36 / $1,565.64 / $2,876.84	Professional		$1,487.36	$1,565.64	$2,876.84