Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,468.00 / $3,468.00	Professional		$3,264.00	$3,468.00	$3,468.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.76 / $2,636.68 / $4,165.20	Facility		$1,273.76	$2,636.68	$4,165.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $4,329.35	Professional		$3,264.00	$3,264.00	$4,329.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,688.00 / $2,688.00 / $2,688.00	Professional		$2,688.00	$2,688.00	$2,688.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,294.60 / $3,672.00 / $4,651.20	Professional		$3,294.60	$3,672.00	$4,651.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $4,080.00 / $5,722.20	Facility		$1,064.00	$4,080.00	$5,722.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $3,876.00 / $4,998.00	Facility		$3,400.00	$3,876.00	$4,998.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,876.00 / $4,998.00	Professional		$3,400.00	$3,876.00	$4,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,861.72	Professional		$3,400.00	$3,400.00	$3,861.72