Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $64,565.42	Facility		$1,819.70	$3,801.89	$64,565.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,089.30	Professional		$1,819.70	$1,819.70	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $6,165.95	Facility		$1,819.70	$3,630.78	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,090.30	Professional		$1,819.70	$1,819.70	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $4,365.16	Professional		$2,570.40	$2,884.03	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $1,819.70	Facility		$1,737.80	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $3,801.89	Professional		$1,548.82	$1,819.70	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,888.44	Facility		$1,819.70	$1,819.70	$5,888.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,630.78	Facility		$1,737.80	$2,187.76	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,630.78	Professional		$1,737.80	$2,187.76	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,884.03	Facility		$1,737.80	$1,819.70	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $2,290.87	Professional		$1,778.28	$1,819.70	$2,290.87