Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,918.31 / $9,120.11	Facility		$2,754.23	$6,918.31	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $3,467.37	Professional		$2,398.83	$2,818.38	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $19,054.61 / $22,908.68	Facility		$14,791.08	$19,054.61	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,311.31	Professional		$2,818.38	$3,019.95	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $18,620.87	Facility		$3,715.35	$9,120.11	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,370.32	Professional		$4,466.84	$4,466.84	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $5,128.61	Professional		$3,715.35	$4,073.80	$5,128.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $5,754.40	Facility		$2,754.23	$3,548.13	$5,754.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $7,762.47	Professional		$2,398.83	$2,398.83	$7,762.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $7,585.78	Facility		$2,570.40	$4,168.69	$7,585.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $7,585.78	Professional		$2,570.40	$4,265.80	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $4,365.16	Facility		$2,187.76	$3,715.35	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $4,265.80	Professional		$1,548.82	$1,819.70	$4,265.80