Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $12,882.50	Facility		$3,890.45	$10,964.78	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $4,786.30	Professional		$3,467.37	$3,981.07	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $27,542.29 / $32,359.37	Facility		$20,892.96	$27,542.29	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,388.44	Professional		$1,905.46	$1,905.46	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $4,677.35	Professional		$3,981.07	$4,265.80	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,882.50 / $26,915.35	Facility		$5,370.32	$12,882.50	$26,915.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $7,585.78	Professional		$6,309.57	$6,309.57	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,754.40 / $7,244.36	Professional		$5,248.07	$5,754.40	$7,244.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $8,128.31	Facility		$3,890.45	$5,011.87	$8,128.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $10,964.78	Professional		$3,388.44	$3,388.44	$10,964.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,888.44 / $10,715.19	Facility		$3,630.78	$5,888.44	$10,715.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $10,715.19	Professional		$3,630.78	$6,025.60	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $6,309.57	Facility		$3,162.28	$5,248.07	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $6,025.60	Professional		$2,187.76	$2,630.27	$6,025.60