Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,332.00 / $7,440.16 / $9,703.12	Facility		$3,332.00	$7,440.16	$9,703.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $3,332.00 / $3,488.80	Professional		$2,940.00	$3,332.00	$3,488.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,920.00 / $3,920.00 / $19,266.80	Facility		$3,920.00	$3,920.00	$19,266.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $559.79	Professional		$335.33	$335.33	$559.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,872.00 / $3,136.00 / $6,115.20	Professional		$2,872.00	$3,136.00	$6,115.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,333.50 / $7,913.59 / $18,391.50	Facility		$2,333.50	$7,913.59	$18,391.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,774.87 / $4,774.87 / $5,720.83	Professional		$4,774.87	$4,774.87	$5,720.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,920.00 / $4,704.00 / $5,801.60	Professional		$3,920.00	$4,704.00	$5,801.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,116.40 / $3,898.44 / $6,664.00	Facility		$3,116.40	$3,898.44	$6,664.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,548.00 / $2,548.00 / $8,232.00	Professional		$2,548.00	$2,548.00	$8,232.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,783.20 / $4,508.00 / $7,252.00	Facility		$2,783.20	$4,508.00	$7,252.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,744.00 / $4,508.00 / $7,252.00	Professional		$2,744.00	$4,508.00	$7,252.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $1,960.00 / $4,508.00	Professional		$1,646.40	$1,960.00	$4,508.00