Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,440.91 / $9,916.29 / $12,932.40	Facility		$4,440.91	$9,916.29	$12,932.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,918.45 / $4,440.91 / $4,440.91	Professional		$3,918.45	$4,440.91	$4,440.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,843.03 / $25,443.80 / $32,131.29	Facility		$19,843.03	$25,443.80	$32,131.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $1,912.00 / $3,191.89	Professional		$1,912.00	$1,912.00	$3,191.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,179.68 / $4,806.63 / $9,372.93	Professional		$4,179.68	$4,806.63	$9,372.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,395.99 / $11,516.71 / $26,765.29	Facility		$3,395.99	$11,516.71	$26,765.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,364.01 / $6,364.01 / $7,624.80	Professional		$6,364.01	$6,364.01	$7,624.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $6,269.52 / $7,732.41	Professional		$5,224.60	$6,269.52	$7,732.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,153.56 / $5,224.60 / $8,881.82	Facility		$4,153.56	$5,224.60	$8,881.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,158.00 / $9,143.04 / $12,539.04	Professional		$7,158.00	$9,143.04	$12,539.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,657.22 / $5,798.26 / $9,699.99	Facility		$3,657.22	$5,798.26	$9,699.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,657.22 / $5,940.37 / $9,699.99	Professional		$3,657.22	$5,940.37	$9,699.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,269.52 / $6,269.52 / $6,269.52	Facility		$6,269.52	$6,269.52	$6,269.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $2,716.79 / $7,112.20	Professional		$2,194.33	$2,716.79	$7,112.20