Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,059.05 / $2,059.05	Facility		$1,961.00	$2,059.05	$2,059.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,059.05	Professional		$1,961.00	$1,961.00	$2,059.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,628.52	Professional		$1,961.00	$1,961.00	$2,628.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $4,235.00	Professional		$1,961.00	$1,961.00	$4,235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,850.00 / $1,961.00	Facility		$1,850.00	$1,850.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,666.85 / $1,961.00 / $2,160.57	Professional		$1,666.85	$1,961.00	$2,160.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,019.83 / $3,135.93	Facility		$1,961.00	$2,019.83	$3,135.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,985.00 / $4,070.40	Professional		$1,961.00	$2,985.00	$4,070.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,669.02 / $1,986.13 / $3,471.56	Facility		$1,669.02	$1,986.13	$3,471.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,669.02 / $1,981.67 / $3,471.56	Professional		$1,669.02	$1,981.67	$3,471.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,400.63	Professional		$1,961.00	$1,961.00	$2,400.63