Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $4,176.89 / $8,262.00	Facility		$3,825.00	$4,176.89	$8,262.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,825.00 / $3,825.00	Professional		$3,735.00	$3,825.00	$3,825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.34 / $8,748.78 / $14,097.56	Facility		$4,146.34	$8,748.78	$14,097.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,426.56	Professional		$3,600.00	$3,600.00	$4,426.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.85 / $546.89 / $4,275.00	Professional		$464.85	$546.89	$4,275.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $496.10 / $4,500.00 / $6,311.25	Facility		$496.10	$4,500.00	$6,311.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $594.80 / $716.00 / $929.18	Professional		$594.80	$716.00	$929.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,562.50 / $4,275.00 / $5,512.50	Facility		$3,562.50	$4,275.00	$5,512.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,562.50 / $4,275.00 / $5,512.50	Professional		$3,562.50	$4,275.00	$5,512.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,500.00	Professional		$3,750.00	$3,750.00	$4,500.00