Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,491.75 / $4,344.13	Facility		$1,316.25	$1,491.75	$4,344.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $1,439.10 / $1,491.75	Professional		$1,316.25	$1,439.10	$1,491.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,665.49 / $8,546.85 / $10,793.25	Facility		$6,665.49	$8,546.85	$10,793.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,194.98	Professional		$1,440.00	$1,440.00	$2,194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,478.41 / $2,737.80	Professional		$1,404.00	$1,478.41	$2,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $4,298.20 / $9,989.16	Facility		$1,267.50	$4,298.20	$9,989.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.96 / $2,374.96 / $2,845.47	Professional		$2,374.96	$2,374.96	$2,845.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $2,886.00	Professional		$1,950.00	$2,340.00	$2,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,909.44 / $2,983.50	Facility		$1,316.25	$1,909.44	$2,983.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,071.00 / $3,071.25 / $4,680.00	Professional		$2,071.00	$3,071.25	$4,680.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $2,018.25 / $3,258.33	Facility		$1,365.00	$2,018.25	$3,258.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $2,018.25 / $3,246.75	Professional		$1,365.00	$2,018.25	$3,246.75
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $912.60 / $2,018.25	Professional		$737.10	$912.60	$2,018.25