Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,394.75 / $10,724.80 / $17,804.70	Facility		$5,394.75	$10,724.80	$17,804.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,394.75 / $6,114.05 / $6,401.77	Professional		$5,394.75	$6,114.05	$6,401.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $35,353.60	Facility		$7,193.00	$7,193.00	$35,353.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.20 / $2,877.20 / $4,675.45	Professional		$2,877.20	$2,877.20	$4,675.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,473.70 / $12,623.72	Professional		$5,754.40	$6,473.70	$12,623.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,675.45 / $13,387.42 / $36,848.42	Facility		$4,675.45	$13,387.42	$36,848.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,501.78 / $4,445.18 / $11,808.88	Professional		$3,501.78	$4,445.18	$11,808.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $8,631.60 / $10,645.64	Professional		$7,193.00	$8,631.60	$10,645.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,718.44 / $7,193.00 / $12,228.10	Facility		$5,718.44	$7,193.00	$12,228.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,078.00 / $9,854.00 / $17,263.20	Professional		$7,078.00	$9,854.00	$17,263.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,898.26 / $7,674.93 / $13,307.05	Facility		$5,898.26	$7,674.93	$13,307.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,898.26 / $7,840.37 / $13,307.05	Professional		$5,898.26	$7,840.37	$13,307.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $3,021.06	Facility		$3,021.06	$3,021.06	$3,021.06
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,596.50 / $8,271.95	Professional		$3,021.06	$3,596.50	$8,271.95