Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $3,990.00 / $9,586.78	Facility		$2,904.75	$3,990.00	$9,586.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $3,292.05 / $3,718.08	Professional		$2,904.75	$3,292.05	$3,718.08
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 $573.20 / $573.20 / $956.90	Professional		$573.20	$573.20	$956.90
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 / $7,208.37 / $19,840.81	Facility		$2,517.44	$7,208.37	$19,840.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,917.12 / $2,393.59 / $5,652.12	Professional		$1,917.12	$2,393.59	$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 $3,079.04 / $3,873.00 / $6,584.10	Facility		$3,079.04	$3,873.00	$6,584.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,811.00 / $6,623.00 / $9,295.20	Professional		$3,811.00	$6,623.00	$9,295.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $4,298.26 / $9,929.00	Facility		$3,175.86	$4,298.26	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,761.45 / $4,655.35 / $9,929.00	Professional		$2,761.45	$4,655.35	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,936.50 / $4,453.95	Professional		$1,626.66	$1,936.50	$4,453.95