Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $3,128.00 / $3,128.00	Professional		$2,944.00	$3,128.00	$3,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $3,929.65	Professional		$2,944.00	$2,944.00	$3,929.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,941.80 / $3,309.53 / $3,309.53	Professional		$2,941.80	$3,309.53	$3,309.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $848.00 / $3,680.00 / $4,763.93	Facility		$848.00	$3,680.00	$4,763.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $731.40 / $933.00 / $1,272.00	Professional		$731.40	$933.00	$1,272.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $524.70 / $682.11 / $1,219.34	Facility		$524.70	$682.11	$1,219.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.70 / $682.11 / $1,219.34	Professional		$524.70	$682.11	$1,219.34
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,395.20	Professional		$3,200.00	$3,200.00	$3,395.20