Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $6,643.00 / $12,530.00	Facility		$2,625.00	$6,643.00	$12,530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $2,975.00 / $3,115.00	Professional		$2,625.00	$2,975.00	$3,115.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $17,202.50	Facility		$3,500.00	$3,500.00	$17,202.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $399.25	Professional		$239.16	$239.16	$399.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $3,150.00 / $6,142.50	Professional		$2,800.00	$3,150.00	$6,142.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,539.99 / $17,930.18	Facility		$2,275.00	$6,539.99	$17,930.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $4,263.10 / $5,107.68	Professional		$2,047.50	$4,263.10	$5,107.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,200.00 / $5,180.00	Professional		$3,500.00	$4,200.00	$5,180.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,782.50 / $3,808.00 / $5,444.25	Facility		$2,782.50	$3,808.00	$5,444.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,130.00 / $6,930.00 / $8,400.00	Professional		$4,130.00	$6,930.00	$8,400.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $4,155.55 / $7,689.50	Facility		$2,450.00	$4,155.55	$7,689.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $4,207.00 / $7,689.50	Professional		$2,450.00	$4,207.00	$7,689.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,820.00 / $4,025.00	Professional		$1,470.00	$1,820.00	$4,025.00