Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $4,476.12 / $11,317.90	Facility		$1,500.00	$4,476.12	$11,317.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,398.84 / $2,500.00	Professional		$1,500.00	$2,398.84	$2,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,401.94 / $14,620.18 / $18,462.84	Facility		$11,401.94	$14,620.18	$18,462.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,194.98	Professional		$1,440.00	$1,440.00	$2,194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,701.88 / $3,002.09 / $5,854.08	Professional		$2,701.88	$3,002.09	$5,854.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.36 / $5,609.62 / $15,378.81	Facility		$1,951.36	$5,609.62	$15,378.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,656.78 / $3,656.78 / $4,381.22	Professional		$3,656.78	$3,656.78	$4,381.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,602.51 / $4,443.09	Professional		$3,002.09	$3,602.51	$4,443.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,590.00 / $2,745.00 / $3,602.51	Facility		$1,590.00	$2,745.00	$3,602.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,542.00 / $5,944.14 / $7,205.02	Professional		$3,542.00	$5,944.14	$7,205.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,101.46 / $3,002.09 / $4,815.35	Facility		$2,101.46	$3,002.09	$4,815.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,101.46 / $3,002.09 / $4,815.35	Professional		$2,101.46	$3,002.09	$4,815.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,711.19 / $4,086.72	Professional		$1,260.88	$1,711.19	$4,086.72