Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $1,725.50 / $5,024.83	Facility		$1,522.50	$1,725.50	$5,024.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.50 / $1,664.60 / $1,725.50	Professional		$1,522.50	$1,664.60	$1,725.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,709.94 / $9,886.10 / $12,484.50	Facility		$7,709.94	$9,886.10	$12,484.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $515.88	Professional		$304.00	$304.00	$515.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $1,624.00 / $3,166.80	Professional		$1,624.00	$1,624.00	$3,166.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $4,475.03 / $10,400.12	Facility		$1,319.50	$4,475.03	$10,400.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,472.58 / $2,472.58 / $2,962.43	Professional		$2,472.58	$2,472.58	$2,962.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,436.00 / $3,004.40	Professional		$2,030.00	$2,436.00	$3,004.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $2,030.00 / $3,451.00	Facility		$1,522.50	$2,030.00	$3,451.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $1,319.50 / $1,319.50	Professional		$1,319.50	$1,319.50	$1,319.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,516.41 / $2,334.50 / $3,768.90	Facility		$1,516.41	$2,334.50	$3,768.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,516.41 / $2,334.50 / $3,768.90	Professional		$1,516.41	$2,334.50	$3,768.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $2,436.00 / $2,436.00	Facility		$2,436.00	$2,436.00	$2,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,055.59 / $2,334.50	Professional		$852.60	$1,055.59	$2,334.50