Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,825.40 / $6,308.95 / $10,237.90	Facility		$2,825.40	$6,308.95	$10,237.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,493.00 / $2,725.68 / $2,825.40	Professional		$2,493.00	$2,725.68	$2,825.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $16,187.88	Facility		$3,324.00	$3,324.00	$16,187.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.60 / $1,329.60 / $2,088.13	Professional		$1,329.60	$1,329.60	$2,088.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,659.20 / $2,991.60 / $5,833.62	Professional		$2,659.20	$2,991.60	$5,833.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,184.71 / $6,211.12 / $17,027.73	Facility		$2,184.71	$6,211.12	$17,027.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,557.22 / $2,054.17 / $5,918.88	Professional		$1,557.22	$2,054.17	$5,918.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $3,988.80 / $4,919.52	Professional		$3,324.00	$3,988.80	$4,919.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $2,493.00 / $4,520.64	Facility		$1,994.40	$2,493.00	$4,520.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,271.00 / $3,490.20 / $7,977.60	Professional		$3,271.00	$3,490.20	$7,977.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,326.80 / $3,995.45 / $12,164.84	Facility		$2,326.80	$3,995.45	$12,164.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,326.80 / $4,023.37 / $12,164.84	Professional		$2,326.80	$4,023.37	$12,164.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,988.80 / $3,988.80 / $3,988.80	Facility		$3,988.80	$3,988.80	$3,988.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,894.68 / $4,524.93	Professional		$1,396.08	$1,894.68	$4,524.93