Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,123.75 / $6,975.15 / $13,156.50	Facility		$3,123.75	$6,975.15	$13,156.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,756.25 / $3,123.75 / $3,123.75	Professional		$2,756.25	$3,123.75	$3,123.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,957.65 / $17,897.25 / $22,601.25	Facility		$13,957.65	$17,897.25	$22,601.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $332.40	Professional		$208.00	$208.00	$332.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $3,675.00 / $7,166.25	Professional		$3,307.50	$3,675.00	$7,166.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.75 / $8,100.53 / $18,825.93	Facility		$2,388.75	$8,100.53	$18,825.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,476.30 / $4,476.30 / $5,363.11	Professional		$4,476.30	$4,476.30	$5,363.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,410.00 / $5,439.00	Professional		$3,675.00	$4,410.00	$5,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,921.63 / $3,675.00 / $5,716.46	Facility		$2,921.63	$3,675.00	$5,716.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,337.00 / $7,276.50 / $8,820.00	Professional		$4,337.00	$7,276.50	$8,820.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,572.50 / $3,675.00 / $5,894.70	Facility		$2,572.50	$3,675.00	$5,894.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $3,675.00 / $5,894.70	Professional		$2,572.50	$3,675.00	$5,894.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,205.00 / $3,675.00 / $4,410.00	Facility		$2,205.00	$3,675.00	$4,410.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,911.00 / $5,002.74	Professional		$1,543.50	$1,911.00	$5,002.74