Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,720.00 / $2,720.00 / $7,920.91	Facility		$2,720.00	$2,720.00	$7,920.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,720.00 / $2,720.00	Professional		$2,400.00	$2,720.00	$2,720.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,153.60 / $15,584.00 / $19,680.00	Facility		$12,153.60	$15,584.00	$19,680.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,917.13	Professional		$1,148.40	$1,148.40	$1,917.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,560.00 / $2,560.00 / $4,992.00	Professional		$2,560.00	$2,560.00	$4,992.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,080.00 / $7,053.95 / $16,393.68	Facility		$2,080.00	$7,053.95	$16,393.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,897.99 / $3,897.99 / $4,670.24	Professional		$3,897.99	$3,897.99	$4,670.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,840.00 / $4,736.00	Professional		$3,200.00	$3,840.00	$4,736.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,200.00 / $5,440.00	Facility		$2,400.00	$3,200.00	$5,440.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,776.00 / $5,600.00 / $7,680.00	Professional		$3,776.00	$5,600.00	$7,680.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,390.40 / $3,680.00 / $5,941.12	Facility		$2,390.40	$3,680.00	$5,941.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,390.40 / $3,680.00 / $5,941.12	Professional		$2,390.40	$3,680.00	$5,941.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,664.00 / $3,680.00	Professional		$1,344.00	$1,664.00	$3,680.00