Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $7,455.00 / $12,376.40	Facility		$3,750.00	$7,455.00	$12,376.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $4,250.00 / $5,000.00	Professional		$3,750.00	$4,250.00	$5,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $24,575.00	Facility		$5,000.00	$5,000.00	$24,575.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $3,250.00	Professional		$2,000.00	$2,000.00	$3,250.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $7,800.00	Professional		$4,000.00	$4,000.00	$7,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $11,021.57 / $25,614.55	Facility		$3,250.00	$11,021.57	$25,614.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,089.96 / $6,089.96 / $7,296.46	Professional		$6,089.96	$6,089.96	$7,296.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $6,000.00 / $7,400.00	Professional		$5,000.00	$6,000.00	$7,400.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,975.00 / $5,000.00 / $8,500.00	Facility		$3,975.00	$5,000.00	$8,500.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,425.09 / $8,750.00 / $12,000.00	Professional		$7,425.09	$8,750.00	$12,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $5,750.00 / $10,185.00	Facility		$3,500.00	$5,750.00	$10,185.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $5,750.00 / $10,185.00	Professional		$3,500.00	$5,750.00	$10,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $5,750.00	Professional		$2,100.00	$3,000.00	$5,750.00