Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $12,882.50 / $16,595.87	Facility		$5,011.87	$12,882.50	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $6,309.57	Professional		$4,466.84	$5,248.07	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $35,481.34 / $41,686.94	Facility		$26,915.35	$35,481.34	$41,686.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $758.58	Professional		$426.58	$426.58	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,495.41 / $6,025.60	Professional		$5,248.07	$5,495.41	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $34,673.69	Facility		$6,918.31	$16,595.87	$34,673.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $9,772.37	Professional		$8,128.31	$8,128.31	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,413.10 / $9,332.54	Professional		$6,760.83	$7,413.10	$9,332.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $10,471.29	Facility		$5,011.87	$6,456.54	$10,471.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,762.47 / $14,125.38	Facility		$5,011.87	$7,762.47	$14,125.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,762.47 / $14,125.38	Professional		$5,011.87	$7,762.47	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $6,760.83 / $8,128.31	Facility		$4,073.80	$6,760.83	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $7,762.47	Professional		$2,818.38	$3,388.44	$7,762.47