Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $1,657.50 / $4,326.07	Facility		$1,462.50	$1,657.50	$4,326.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,599.00 / $1,657.50	Professional		$1,462.50	$1,599.00	$1,657.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,406.10 / $9,496.50 / $11,992.50	Facility		$7,406.10	$9,496.50	$11,992.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $2,361.44	Professional		$1,549.20	$1,549.20	$2,361.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $3,042.00	Professional		$1,560.00	$1,560.00	$3,042.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $3,257.48 / $9,989.16	Facility		$1,267.50	$3,257.48	$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 $1,462.50 / $1,950.00 / $3,315.00	Facility		$1,462.50	$1,950.00	$3,315.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $1,267.50 / $1,267.50	Professional		$1,267.50	$1,267.50	$1,267.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $2,164.11 / $3,620.37	Facility		$1,365.00	$2,164.11	$3,620.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $2,242.50 / $3,607.50	Professional		$1,365.00	$2,242.50	$3,607.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $2,340.00	Facility		$2,340.00	$2,340.00	$2,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,111.50 / $2,242.50	Professional		$819.00	$1,111.50	$2,242.50