Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,876.75 / $3,876.75	Facility		$3,692.14	$3,876.75	$3,876.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,876.75	Professional		$3,692.14	$3,692.14	$3,876.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,948.93	Professional		$3,692.14	$3,692.14	$4,948.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,483.15 / $3,692.14	Facility		$3,483.15	$3,483.15	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,138.32 / $3,480.61 / $3,692.14	Professional		$3,138.32	$3,480.61	$3,692.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $3,692.14 / $5,904.29	Facility		$3,420.00	$3,692.14	$5,904.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,653.00 / $3,420.00 / $3,420.00	Professional		$1,653.00	$3,420.00	$3,420.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,941.40 / $3,294.37 / $5,594.15	Facility		$2,941.40	$3,294.37	$5,594.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,941.40 / $3,294.37 / $5,594.15	Professional		$2,941.40	$3,294.37	$5,594.15
United Facility/Professional Professional Modifier Low / Median / High Price $3,632.51 / $3,692.14 / $3,917.36	Professional		$3,632.51	$3,692.14	$3,917.36