Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.73 / $4,681.64 / $7,700.00	Facility		$1,793.73	$4,681.64	$7,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $2,625.00 / $2,870.00	Professional		$1,793.73	$2,625.00	$2,870.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,293.00 / $17,045.00 / $21,525.00	Facility		$13,293.00	$17,045.00	$21,525.00
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 / $3,220.00 / $6,279.00	Professional		$2,800.00	$3,220.00	$6,279.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,715.10 / $17,930.18	Facility		$2,275.00	$7,715.10	$17,930.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,263.10 / $4,263.10 / $5,107.68	Professional		$4,263.10	$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 $1,901.35 / $3,282.53 / $4,200.00	Facility		$1,901.35	$3,282.53	$4,200.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,795.00 / $6,125.00 / $8,400.00	Professional		$4,795.00	$6,125.00	$8,400.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $4,025.00 / $9,929.00	Facility		$2,450.00	$4,025.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $4,025.00 / $9,929.00	Professional		$2,450.00	$4,025.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $1,470.00	Facility		$1,470.00	$1,470.00	$1,470.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,820.00 / $4,550.00	Professional		$1,470.00	$1,820.00	$4,550.00