Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $5,696.97 / $11,328.40	Facility		$5,168.22	$5,696.97	$11,328.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,426.64 / $5,426.64	Professional		$5,168.22	$5,426.64	$5,426.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $10,904.97 / $17,571.98	Facility		$5,168.22	$10,904.97	$17,571.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,535.18 / $7,436.58 / $11,222.48	Professional		$6,535.18	$7,436.58	$11,222.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $4,875.68 / $5,168.22	Facility		$4,875.68	$4,875.68	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,393.00 / $5,739.60 / $6,201.88	Professional		$4,393.00	$5,739.60	$6,201.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $5,168.22 / $6,793.00	Facility		$618.00	$5,168.22	$6,793.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,234.00 / $1,234.00 / $1,234.00	Professional		$1,234.00	$1,234.00	$1,234.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,816.27 / $5,168.22 / $6,615.33	Facility		$4,816.27	$5,168.22	$6,615.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,816.27 / $5,168.22 / $6,615.33	Professional		$4,816.27	$5,168.22	$6,615.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $4,968.58	Facility		$4,968.58	$4,968.58	$4,968.58
United Facility/Professional Professional Modifier Low / Median / High Price $5,084.76 / $5,168.22 / $5,739.60	Professional		$5,084.76	$5,168.22	$5,739.60