Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $2,481.66 / $7,226.84	Facility		$2,189.69	$2,481.66	$7,226.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $2,481.66 / $2,919.60	Professional		$2,189.69	$2,481.66	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,088.64 / $14,218.45 / $17,955.54	Facility		$11,088.64	$14,218.45	$17,955.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $1,949.59	Professional		$1,167.83	$1,167.83	$1,949.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $2,335.67 / $4,554.58	Professional		$2,335.67	$2,335.67	$4,554.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,744.35 / $7,226.31 / $15,561.47	Facility		$4,744.35	$7,226.31	$15,561.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,263.10 / $4,263.10 / $5,107.68	Professional		$4,263.10	$4,263.10	$5,107.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,200.00 / $5,180.00	Professional		$3,500.00	$4,200.00	$5,180.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $3,176.52 / $4,963.32	Facility		$2,189.69	$3,176.52	$4,963.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $1,897.74 / $1,897.74	Professional		$1,897.74	$1,897.74	$1,897.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,445.17 / $3,960.48 / $6,371.22	Facility		$2,445.17	$3,960.48	$6,371.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,410.73 / $3,960.48 / $6,371.22	Professional		$2,410.73	$3,960.48	$6,371.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,518.19 / $3,357.54	Professional		$1,226.23	$1,518.19	$3,357.54