Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $7,350.95 / $13,865.30	Facility		$2,904.75	$7,350.95	$13,865.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $3,175.86 / $3,292.05	Professional		$2,904.75	$3,175.86	$3,292.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $19,035.80	Facility		$3,873.00	$3,873.00	$19,035.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,246.40 / $2,003.46	Professional		$1,246.40	$1,246.40	$2,003.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,098.40 / $6,041.88	Professional		$3,098.40	$3,098.40	$6,041.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $7,236.97 / $19,840.81	Facility		$2,517.44	$7,236.97	$19,840.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $4,717.52 / $5,652.12	Professional		$2,265.71	$4,717.52	$5,652.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,647.60 / $5,732.04	Professional		$3,873.00	$4,647.60	$5,732.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,224.27 / $4,453.95 / $6,959.78	Facility		$3,224.27	$4,453.95	$6,959.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,570.00 / $7,668.54 / $9,295.20	Professional		$4,570.00	$7,668.54	$9,295.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $3,873.00 / $6,212.29	Facility		$74.83	$3,873.00	$6,212.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $3,873.00 / $6,212.29	Professional		$2,517.44	$3,873.00	$6,212.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,936.50 / $4,453.95	Professional		$1,626.66	$1,936.50	$4,453.95