Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $5,367.60 / $8,911.03	Facility		$2,700.00	$5,367.60	$8,911.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,700.00 / $3,060.00 / $3,600.00	Professional		$2,700.00	$3,060.00	$3,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $17,694.00	Facility		$3,600.00	$3,600.00	$17,694.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,340.00	Professional		$1,440.00	$1,440.00	$2,340.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $2,880.00 / $5,616.00	Professional		$2,880.00	$2,880.00	$5,616.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $6,700.02 / $18,441.80	Facility		$2,340.00	$6,700.02	$18,441.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.59 / $2,224.75 / $5,910.17	Professional		$1,752.59	$2,224.75	$5,910.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $5,328.00	Professional		$3,600.00	$4,320.00	$5,328.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,862.00 / $3,600.00 / $6,120.00	Facility		$2,862.00	$3,600.00	$6,120.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,542.00 / $4,932.00 / $8,640.00	Professional		$3,542.00	$4,932.00	$8,640.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,985.66 / $3,924.00 / $9,929.00	Facility		$2,985.66	$3,924.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,985.66 / $4,071.00 / $9,929.00	Professional		$2,985.66	$4,071.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $3,600.00 / $4,320.00	Facility		$2,160.00	$3,600.00	$4,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,800.00 / $4,680.00	Professional		$1,512.00	$1,800.00	$4,680.00