Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $3,292.05 / $9,586.78	Facility		$2,904.75	$3,292.05	$9,586.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $3,175.86 / $3,292.05	Professional		$2,904.75	$3,175.86	$3,292.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,709.65 / $18,861.50 / $23,818.95	Facility		$14,709.65	$18,861.50	$23,818.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,917.13	Professional		$1,148.40	$1,148.40	$1,917.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,098.40 / $6,041.88	Professional		$3,098.40	$3,098.40	$6,041.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $8,537.20 / $19,840.81	Facility		$2,517.44	$8,537.20	$19,840.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,717.52 / $4,717.52 / $5,652.12	Professional		$4,717.52	$4,717.52	$5,652.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,647.60 / $5,732.04	Professional		$3,873.00	$4,647.60	$5,732.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $3,873.00 / $6,584.10	Facility		$2,904.75	$3,873.00	$6,584.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,570.00 / $6,777.75 / $9,295.20	Professional		$4,570.00	$6,777.75	$9,295.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,893.13 / $4,453.95 / $7,190.61	Facility		$2,893.13	$4,453.95	$7,190.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,893.13 / $4,453.95 / $7,190.61	Professional		$2,893.13	$4,453.95	$7,190.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,013.96 / $4,453.95	Professional		$1,626.66	$2,013.96	$4,453.95