Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.48 / $2,922.29 / $7,627.18	Facility		$2,578.48	$2,922.29	$7,627.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,578.48 / $2,819.15 / $2,922.29	Professional		$2,578.48	$2,819.15	$2,922.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,057.45 / $16,742.96 / $21,143.58	Facility		$13,057.45	$16,742.96	$21,143.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $325.33 / $552.08	Professional		$325.33	$325.33	$552.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,750.38 / $2,750.38 / $5,363.24	Professional		$2,750.38	$2,750.38	$5,363.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,234.69 / $5,743.15 / $17,613.14	Facility		$2,234.69	$5,743.15	$17,613.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,187.37 / $4,187.37 / $5,016.93	Professional		$4,187.37	$4,187.37	$5,016.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $4,125.58 / $5,088.21	Professional		$3,437.98	$4,125.58	$5,088.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,578.48 / $3,437.98 / $5,844.58	Facility		$2,578.48	$3,437.98	$5,844.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,234.69 / $2,234.69 / $2,234.69	Professional		$2,234.69	$2,234.69	$2,234.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,406.59 / $3,908.98 / $6,382.95	Facility		$2,406.59	$3,908.98	$6,382.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,406.59 / $3,953.68 / $6,360.26	Professional		$2,406.59	$3,953.68	$6,360.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,094.18 / $3,437.98 / $5,156.97	Facility		$3,094.18	$3,437.98	$5,156.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $2,062.79 / $3,953.68	Professional		$1,443.95	$2,062.79	$3,953.68