Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,654.43 / $4,654.43 / $13,554.20	Facility		$4,654.43	$4,654.43	$13,554.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,106.85 / $4,654.43 / $4,654.43	Professional		$4,106.85	$4,654.43	$4,654.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,797.09 / $26,667.15 / $33,676.17	Facility		$20,797.09	$26,667.15	$33,676.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,702.85 / $1,702.85 / $2,842.73	Professional		$1,702.85	$1,702.85	$2,842.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,380.64 / $4,380.64 / $8,542.25	Professional		$4,380.64	$4,380.64	$8,542.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,559.27 / $12,070.32 / $28,051.89	Facility		$3,559.27	$12,070.32	$28,051.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,669.58 / $6,669.58 / $7,990.91	Professional		$6,669.58	$6,669.58	$7,990.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $6,570.96 / $8,104.18	Professional		$5,475.80	$6,570.96	$8,104.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,106.85 / $5,475.80 / $9,308.86	Facility		$4,106.85	$5,475.80	$9,308.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,461.00 / $9,582.65 / $13,141.92	Professional		$6,461.00	$9,582.65	$13,141.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,090.42 / $6,297.17 / $10,166.37	Facility		$4,090.42	$6,297.17	$10,166.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,090.42 / $6,297.17 / $10,166.37	Professional		$4,090.42	$6,297.17	$10,166.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.84 / $2,847.42 / $6,297.17	Professional		$2,299.84	$2,847.42	$6,297.17