Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,365.16	Professional		$2,951.21	$2,951.21	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $3,630.78	Facility		$2,630.27	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,090.30 / $3,630.78	Professional		$436.52	$3,090.30	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,265.80	Facility		$2,951.21	$2,951.21	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $602.56 / $5,128.61	Facility		$323.59	$602.56	$5,128.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $5,128.61	Professional		$323.59	$602.56	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $2,754.23	Facility		$213.80	$371.54	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,388.44	Professional		$1,778.28	$2,089.30	$3,388.44