Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.35 / $3,555.66 / $9,280.27	Facility		$3,137.35	$3,555.66	$9,280.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,137.35 / $3,430.17 / $3,555.66	Professional		$3,137.35	$3,430.17	$3,555.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,887.53 / $20,371.84 / $25,726.25	Facility		$15,887.53	$20,371.84	$25,726.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $352.97	Professional		$208.00	$208.00	$352.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,346.50 / $3,346.50 / $6,525.68	Professional		$3,346.50	$3,346.50	$6,525.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,719.03 / $6,987.91 / $21,429.35	Facility		$2,719.03	$6,987.91	$21,429.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,095.32 / $5,095.32 / $6,104.77	Professional		$5,095.32	$5,095.32	$6,104.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,183.13 / $5,019.76 / $6,191.03	Professional		$4,183.13	$5,019.76	$6,191.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,137.35 / $4,183.13 / $7,111.32	Facility		$3,137.35	$4,183.13	$7,111.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,719.03 / $8,282.60 / $10,039.51	Professional		$2,719.03	$8,282.60	$10,039.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,928.19 / $4,756.22 / $7,766.40	Facility		$2,928.19	$4,756.22	$7,766.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,928.19 / $4,810.60 / $7,738.79	Professional		$2,928.19	$4,810.60	$7,738.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.91 / $2,175.23 / $4,810.60	Professional		$1,756.91	$2,175.23	$4,810.60