Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.50 / $5,750.94 / $10,847.40	Facility		$2,575.50	$5,750.94	$10,847.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.50 / $2,575.50 / $3,110.00	Professional		$2,272.50	$2,575.50	$3,110.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,507.94 / $14,756.10 / $18,634.50	Facility		$11,507.94	$14,756.10	$18,634.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,397.15	Professional		$1,500.00	$1,500.00	$2,397.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,424.00 / $2,727.00 / $5,317.65	Professional		$2,424.00	$2,727.00	$5,317.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.50 / $5,639.17 / $15,523.07	Facility		$1,969.50	$5,639.17	$15,523.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,690.49 / $3,690.49 / $4,421.62	Professional		$3,690.49	$3,690.49	$4,421.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,636.00 / $4,484.39	Professional		$3,030.00	$3,636.00	$4,484.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,408.85 / $3,030.00 / $5,151.00	Facility		$2,408.85	$3,030.00	$5,151.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,151.00 / $5,999.40 / $7,272.00	Professional		$4,151.00	$5,999.40	$7,272.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,121.00 / $3,362.69 / $5,625.50	Facility		$2,121.00	$3,362.69	$5,625.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,121.00 / $3,445.11 / $5,625.50	Professional		$2,121.00	$3,445.11	$5,625.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,515.00 / $3,484.50	Professional		$1,272.59	$1,515.00	$3,484.50