Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $9,072.44 / $17,112.40	Facility		$3,585.00	$9,072.44	$17,112.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,585.00 / $3,919.60 / $4,063.00	Professional		$3,585.00	$3,919.60	$4,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $23,493.70	Facility		$4,780.00	$4,780.00	$23,493.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $3,824.00 / $5,497.38	Professional		$3,824.00	$3,824.00	$5,497.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $4,302.00 / $8,388.90	Professional		$3,824.00	$4,302.00	$8,388.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $10,536.54 / $24,487.33	Facility		$3,107.00	$10,536.54	$24,487.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,822.04 / $5,822.04 / $6,975.46	Professional		$5,822.04	$5,822.04	$6,975.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,736.00 / $7,074.40	Professional		$4,780.00	$5,736.00	$7,074.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,979.35 / $5,497.00 / $8,589.66	Facility		$3,979.35	$5,497.00	$8,589.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,640.00 / $9,464.40 / $11,472.00	Professional		$5,640.00	$9,464.40	$11,472.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $4,302.00 / $7,667.12	Facility		$63.50	$4,302.00	$7,667.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $4,780.00 / $7,667.12	Professional		$63.50	$4,780.00	$7,667.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $5,736.00 / $5,736.00	Facility		$5,736.00	$5,736.00	$5,736.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,485.60 / $5,497.00	Professional		$2,007.60	$2,485.60	$5,497.00