Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,980.00 / $5,100.00 / $5,100.00	Professional		$4,980.00	$5,100.00	$5,100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.94 / $4,352.80 / $7,014.00	Facility		$2,062.94	$4,352.80	$7,014.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $6,226.56	Professional		$4,800.00	$4,800.00	$6,226.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $4,800.00	Professional		$4,800.00	$4,800.00	$4,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,845.00 / $5,700.00 / $6,840.00	Professional		$4,845.00	$5,700.00	$6,840.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $6,000.00 / $8,415.00	Facility		$5,100.00	$6,000.00	$8,415.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,700.00 / $7,500.00	Facility		$5,000.00	$5,700.00	$7,500.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,700.00 / $7,500.00	Professional		$5,000.00	$5,700.00	$7,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,919.25 / $5,000.00 / $6,000.00	Professional		$4,919.25	$5,000.00	$6,000.00