Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,123.75 / $6,975.15 / $9,096.67	Facility		$3,123.75	$6,975.15	$9,096.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,756.25 / $3,123.75 / $3,123.75	Professional		$2,756.25	$3,123.75	$3,123.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,957.65 / $17,897.25 / $22,601.25	Facility		$13,957.65	$17,897.25	$22,601.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,388.75	Professional		$1,500.00	$1,500.00	$2,388.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $3,381.00 / $6,592.95	Professional		$2,940.00	$3,381.00	$6,592.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.75 / $8,100.53 / $18,825.93	Facility		$2,388.75	$8,100.53	$18,825.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,476.30 / $4,476.30 / $5,363.11	Professional		$4,476.30	$4,476.30	$5,363.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,410.00 / $5,439.00	Professional		$3,675.00	$4,410.00	$5,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,921.63 / $3,675.00 / $6,247.50	Facility		$2,921.63	$3,675.00	$6,247.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,035.00 / $6,431.25 / $8,820.00	Professional		$5,035.00	$6,431.25	$8,820.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,572.50 / $4,078.52 / $6,823.01	Facility		$2,572.50	$4,078.52	$6,823.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $4,178.47 / $6,823.01	Professional		$2,572.50	$4,178.47	$6,823.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,837.50 / $3,961.65	Professional		$1,543.50	$1,837.50	$3,961.65