Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,200.00 / $22,776.00 / $39,960.00	Facility		$10,200.00	$22,776.00	$39,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $9,000.00 / $10,200.00	Professional		$1,900.00	$9,000.00	$10,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $58,440.00	Facility		$4,780.00	$4,780.00	$58,440.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $7,312.32	Professional		$4,800.00	$4,800.00	$7,312.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9,600.00 / $10,800.00 / $21,060.00	Professional		$9,600.00	$10,800.00	$21,060.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,340.11 / $22,422.83 / $61,474.99	Facility		$3,340.11	$22,422.83	$61,474.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,467.80 / $7,416.03 / $21,369.01	Professional		$5,467.80	$7,416.03	$21,369.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $14,400.00 / $17,760.00	Professional		$12,000.00	$14,400.00	$17,760.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $9,000.00 / $16,320.00	Facility		$1,200.00	$9,000.00	$16,320.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9,900.00 / $12,600.00 / $28,339.54	Professional		$9,900.00	$12,600.00	$28,339.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8,400.00 / $12,396.00 / $43,916.40	Facility		$8,400.00	$12,396.00	$43,916.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8,400.00 / $13,080.00 / $43,916.40	Professional		$8,400.00	$13,080.00	$43,916.40
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $6,000.00 / $12,000.00	Professional		$5,040.00	$6,000.00	$12,000.00