Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,471.29 / $13,489.63	Facility		$4,073.80	$10,471.29	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $5,011.87	Professional		$2,951.21	$4,073.80	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $28,840.32 / $33,884.42	Facility		$21,877.62	$28,840.32	$33,884.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $117.49	Professional		$66.07	$66.07	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $4,897.79	Professional		$4,265.80	$4,466.84	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,489.63 / $28,183.83	Facility		$5,623.41	$13,489.63	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $7,943.28	Professional		$6,606.93	$6,606.93	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $7,585.78	Professional		$5,495.41	$6,025.60	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $8,511.38	Facility		$4,073.80	$5,370.32	$8,511.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $11,481.54	Professional		$3,548.13	$3,548.13	$11,481.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,165.95 / $11,220.18	Facility		$3,801.89	$6,165.95	$11,220.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $11,220.18	Professional		$3,801.89	$6,309.57	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,495.41 / $6,606.93	Facility		$3,311.31	$5,495.41	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $6,309.57	Professional		$2,290.87	$2,754.23	$6,309.57