Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.00 / $6,149.52 / $11,599.20	Facility		$2,430.00	$6,149.52	$11,599.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $2,656.80 / $2,754.00	Professional		$2,430.00	$2,656.80	$2,754.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,305.52 / $15,778.80 / $19,926.00	Facility		$12,305.52	$15,778.80	$19,926.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $1,975.49	Professional		$1,296.00	$1,296.00	$1,975.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $5,054.39	Professional		$2,592.00	$2,592.00	$5,054.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $6,054.17 / $16,598.32	Facility		$2,106.00	$6,054.17	$16,598.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,946.15 / $3,946.15 / $4,727.93	Professional		$3,946.15	$3,946.15	$4,727.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,888.00 / $4,795.20	Professional		$3,240.00	$3,888.00	$4,795.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,575.80 / $3,240.00 / $5,039.82	Facility		$2,575.80	$3,240.00	$5,039.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,823.00 / $6,415.20 / $7,776.00	Professional		$3,823.00	$6,415.20	$7,776.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,268.00 / $3,240.00 / $5,196.96	Facility		$2,268.00	$3,240.00	$5,196.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,268.00 / $3,240.00 / $5,196.96	Professional		$2,268.00	$3,240.00	$5,196.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,620.00 / $3,726.00	Professional		$1,360.80	$1,620.00	$3,726.00