Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $3,060.00 / $8,911.03	Facility		$2,700.00	$3,060.00	$8,911.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,700.00 / $2,952.00 / $3,060.00	Professional		$2,700.00	$2,952.00	$3,060.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,672.80 / $17,532.00 / $22,140.00	Facility		$13,672.80	$17,532.00	$22,140.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,340.00	Professional		$1,440.00	$1,440.00	$2,340.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $2,880.00 / $5,616.00	Professional		$2,880.00	$2,880.00	$5,616.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $7,935.24 / $18,441.80	Facility		$2,340.00	$7,935.24	$18,441.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,384.80 / $4,384.80 / $5,253.49	Professional		$4,384.80	$4,384.80	$5,253.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $5,328.00	Professional		$3,600.00	$4,320.00	$5,328.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $3,600.00 / $6,120.00	Facility		$2,700.00	$3,600.00	$6,120.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $2,340.00	Professional		$2,340.00	$2,340.00	$2,340.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,689.20 / $4,140.00 / $6,683.76	Facility		$2,689.20	$4,140.00	$6,683.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,689.20 / $4,140.00 / $6,683.76	Professional		$2,689.20	$4,140.00	$6,683.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,872.00 / $4,140.00	Professional		$1,512.00	$1,872.00	$4,140.00