Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,140.00 / $8,200.50 / $13,614.10	Facility		$4,140.00	$8,200.50	$13,614.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,140.00 / $4,510.00 / $4,675.00	Professional		$4,140.00	$4,510.00	$4,675.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,445.00 / $5,445.00 / $27,032.50	Facility		$5,445.00	$5,445.00	$27,032.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,539.25	Professional		$2,200.00	$2,200.00	$3,539.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,400.00 / $4,950.00 / $9,652.50	Professional		$4,400.00	$4,950.00	$9,652.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $10,273.62 / $28,176.02	Facility		$3,575.00	$10,273.62	$28,176.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.55 / $3,398.91 / $9,029.37	Professional		$2,677.55	$3,398.91	$9,029.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,445.00 / $6,534.00 / $8,058.60	Professional		$5,445.00	$6,534.00	$8,058.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,388.39 / $5,520.00 / $9,350.00	Facility		$4,388.39	$5,520.00	$9,350.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,412.00 / $7,535.00 / $13,200.00	Professional		$5,412.00	$7,535.00	$13,200.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,108.50 / $5,951.00 / $10,432.79	Facility		$4,108.50	$5,951.00	$10,432.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $6,103.90 / $10,945.00	Professional		$4,071.00	$6,103.90	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $5,500.00 / $8,250.00	Facility		$4,950.00	$5,500.00	$8,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $2,860.00 / $6,325.00	Professional		$2,310.00	$2,860.00	$6,325.00