Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,914.17 / $11,155.30	Facility		$2,337.00	$5,914.17	$11,155.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.00 / $2,555.12 / $2,648.60	Professional		$2,337.00	$2,555.12	$2,648.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $15,315.14	Facility		$3,116.00	$3,116.00	$15,315.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,246.40 / $2,025.40	Professional		$1,246.40	$1,246.40	$2,025.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,492.80 / $2,804.40 / $5,468.58	Professional		$2,492.80	$2,804.40	$5,468.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,025.40 / $5,799.37 / $15,962.58	Facility		$2,025.40	$5,799.37	$15,962.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.16 / $1,891.37 / $5,143.01	Professional		$1,536.16	$1,891.37	$5,143.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,739.20 / $4,611.68	Professional		$3,116.00	$3,739.20	$4,611.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,594.07 / $3,583.40 / $5,001.17	Facility		$2,594.07	$3,583.40	$5,001.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,907.00 / $7,358.86	Professional		$3,116.00	$3,907.00	$7,358.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,599.94 / $3,745.43 / $9,929.00	Facility		$2,599.94	$3,745.43	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,710.92 / $3,745.43 / $9,929.00	Professional		$2,710.92	$3,745.43	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,620.32 / $3,594.59	Professional		$1,308.72	$1,620.32	$3,594.59