Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.00 / $6,149.52 / $11,599.20	Facility		$2,430.00	$6,149.52	$11,599.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $2,754.00 / $3,240.00	Professional		$2,430.00	$2,754.00	$3,240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $15,924.60	Facility		$3,240.00	$3,240.00	$15,924.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $2,106.00	Professional		$1,296.00	$1,296.00	$2,106.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $5,054.39	Professional		$2,592.00	$2,592.00	$5,054.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $6,030.21 / $16,598.32	Facility		$2,106.00	$6,030.21	$16,598.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.28 / $1,966.65 / $5,347.72	Professional		$1,597.28	$1,966.65	$5,347.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,888.00 / $4,795.20	Professional		$3,240.00	$3,888.00	$4,795.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $3,726.00 / $5,039.82	Facility		$2,754.00	$3,726.00	$5,039.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,551.00 / $7,651.27	Professional		$3,240.00	$3,551.00	$7,651.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,310.12 / $3,726.00 / $9,929.00	Facility		$2,310.12	$3,726.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,310.12 / $3,767.47 / $9,929.00	Professional		$2,310.12	$3,767.47	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.11 / $1,684.80 / $3,492.72	Professional		$1,193.11	$1,684.80	$3,492.72