Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $12,302.69	Facility		$3,715.35	$9,549.93	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,011.87	Professional		$3,388.44	$4,073.80	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $19,952.62	Facility		$5,011.87	$5,011.87	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,388.44	Professional		$1,995.26	$1,995.26	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,570.88	Professional		$3,890.45	$4,073.80	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $12,302.69 / $25,703.96	Facility		$5,128.61	$12,302.69	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,244.36	Professional		$6,025.60	$6,025.60	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $7,079.46	Professional		$5,011.87	$5,495.41	$7,079.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $7,762.47	Facility		$3,715.35	$4,897.79	$7,762.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $10,471.29	Professional		$3,235.94	$3,235.94	$10,471.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $10,964.78	Facility		$3,467.37	$5,888.44	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $10,964.78	Professional		$3,467.37	$5,888.44	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $6,025.60	Facility		$3,019.95	$5,011.87	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $5,754.40	Professional		$2,089.30	$2,511.89	$5,754.40