Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,870.00 / $1,870.00	Professional		$1,760.00	$1,870.00	$1,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $2,359.10	Professional		$1,760.00	$1,760.00	$2,359.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,994.31 / $1,994.31 / $1,994.31	Professional		$1,994.31	$1,994.31	$1,994.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,053.34 / $2,310.00 / $2,310.00	Professional		$2,053.34	$2,310.00	$2,310.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $2,200.00 / $2,848.01	Facility		$1,870.00	$2,200.00	$2,848.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,090.00 / $2,200.00 / $2,200.00	Professional		$2,090.00	$2,200.00	$2,200.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,255.00 / $3,300.00	Facility		$2,090.00	$2,255.00	$3,300.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,090.00 / $2,255.00 / $3,300.00	Professional		$2,090.00	$2,255.00	$3,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,566.67	Professional		$2,200.00	$2,200.00	$2,566.67