Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,264.00 / $3,264.00	Professional		$3,072.00	$3,264.00	$3,264.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,866.58 / $3,863.82 / $6,103.72	Facility		$1,866.58	$3,863.82	$6,103.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $4,090.36	Professional		$3,072.00	$3,072.00	$4,090.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,534.00 / $2,534.00 / $2,534.00	Professional		$2,534.00	$2,534.00	$2,534.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,366.00	Facility		$3,264.00	$3,264.00	$3,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,100.80 / $3,456.00 / $4,377.60	Professional		$3,100.80	$3,456.00	$4,377.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,840.00 / $5,385.60	Facility		$3,264.00	$3,840.00	$5,385.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,648.00 / $4,704.00	Facility		$3,200.00	$3,648.00	$4,704.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,648.00 / $4,704.00	Professional		$3,200.00	$3,648.00	$4,704.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,584.00	Professional		$3,200.00	$3,200.00	$3,584.00