Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $4,105.50 / $4,105.50	Professional		$3,864.00	$4,105.50	$4,105.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $5,179.30	Professional		$3,864.00	$3,864.00	$5,179.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,138.06 / $1,138.06 / $1,138.06	Professional		$1,138.06	$1,138.06	$1,138.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,576.00 / $2,898.00 / $2,898.00	Professional		$2,576.00	$2,898.00	$2,898.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,858.40 / $4,830.00 / $6,252.68	Facility		$3,858.40	$4,830.00	$6,252.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,095.84 / $5,194.00 / $7,123.20	Professional		$4,095.84	$5,194.00	$7,123.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,938.17 / $3,731.48 / $6,389.93	Facility		$2,938.17	$3,731.48	$6,389.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,938.17 / $3,731.48 / $6,389.93	Professional		$2,938.17	$3,731.48	$6,389.93
United Facility/Professional Professional Modifier Low / Median / High Price $4,074.00 / $4,200.00 / $4,456.20	Professional		$4,074.00	$4,200.00	$4,456.20