Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,063.00 / $9,072.44 / $15,917.39	Facility		$4,063.00	$9,072.44	$15,917.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,585.00 / $4,063.00	Professional		$3,000.00	$3,585.00	$4,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $23,278.60	Facility		$4,780.00	$4,780.00	$23,278.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $1,912.00 / $3,002.79	Professional		$1,912.00	$1,912.00	$3,002.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $4,302.00 / $8,388.90	Professional		$3,824.00	$4,302.00	$8,388.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.69 / $8,931.76 / $24,487.33	Facility		$3,141.69	$8,931.76	$24,487.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,288.66 / $2,954.14 / $8,512.00	Professional		$2,288.66	$2,954.14	$8,512.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,736.00 / $7,074.40	Professional		$4,780.00	$5,736.00	$7,074.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $3,585.00 / $6,500.80	Facility		$3,000.00	$3,585.00	$6,500.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,704.00 / $5,019.00 / $11,472.00	Professional		$4,704.00	$5,019.00	$11,472.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,346.00 / $5,675.29 / $17,493.37	Facility		$3,346.00	$5,675.29	$17,493.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,346.00 / $5,675.29 / $17,493.37	Professional		$3,346.00	$5,675.29	$17,493.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $4,780.00 / $7,170.00	Facility		$4,302.00	$4,780.00	$7,170.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,390.00 / $4,780.00	Professional		$2,007.60	$2,390.00	$4,780.00