Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,653.92 / $10,391.90 / $13,552.70	Facility		$4,653.92	$10,391.90	$13,552.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,106.39 / $4,653.92 / $4,653.92	Professional		$4,106.39	$4,653.92	$4,653.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,794.81 / $26,664.22 / $33,672.48	Facility		$20,794.81	$26,664.22	$33,672.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $110.51	Professional		$66.20	$66.20	$110.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,380.16 / $5,037.18 / $9,822.50	Professional		$4,380.16	$5,037.18	$9,822.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,558.88 / $12,068.88 / $28,048.56	Facility		$3,558.88	$12,068.88	$28,048.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,668.70 / $6,668.70 / $7,989.86	Professional		$6,668.70	$6,668.70	$7,989.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $6,570.24 / $8,103.30	Professional		$5,475.20	$6,570.24	$8,103.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,352.78 / $5,475.20 / $9,307.84	Facility		$4,352.78	$5,475.20	$9,307.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,501.00 / $9,581.60 / $13,140.48	Professional		$7,501.00	$9,581.60	$13,140.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,832.64 / $6,076.38 / $10,165.26	Facility		$3,832.64	$6,076.38	$10,165.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,832.64 / $6,225.30 / $10,165.26	Professional		$3,832.64	$6,225.30	$10,165.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.58 / $2,737.60 / $6,296.48	Professional		$2,299.58	$2,737.60	$6,296.48