Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,728.43 / $5,728.43 / $16,681.80	Facility		$5,728.43	$5,728.43	$16,681.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,054.50 / $5,728.43 / $5,728.43	Professional		$5,054.50	$5,728.43	$5,728.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,595.98 / $32,820.54 / $41,446.87	Facility		$25,595.98	$32,820.54	$41,446.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $426.88 / $712.63	Professional		$426.88	$426.88	$712.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,391.46 / $5,391.46 / $10,513.35	Professional		$5,391.46	$5,391.46	$10,513.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,380.56 / $14,855.67 / $34,525.12	Facility		$4,380.56	$14,855.67	$34,525.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,208.81 / $8,208.81 / $9,835.09	Professional		$8,208.81	$8,208.81	$9,835.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,739.33 / $8,087.20 / $9,974.20	Professional		$6,739.33	$8,087.20	$9,974.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,054.50 / $6,739.33 / $11,456.86	Facility		$5,054.50	$6,739.33	$11,456.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,952.00 / $11,793.83 / $16,174.39	Professional		$7,952.00	$11,793.83	$16,174.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,034.28 / $7,750.23 / $12,512.24	Facility		$5,034.28	$7,750.23	$12,512.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,034.28 / $7,750.23 / $12,512.24	Professional		$5,034.28	$7,750.23	$12,512.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,830.52 / $2,830.52 / $2,830.52	Facility		$2,830.52	$2,830.52	$2,830.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,830.52 / $3,369.67 / $7,750.23	Professional		$2,830.52	$3,369.67	$7,750.23