Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,480.40 / $6,473.84 / $17,107.20	Facility		$2,480.40	$6,473.84	$17,107.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $5,832.00 / $7,776.00	Professional		$2,480.40	$5,832.00	$7,776.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $7,776.00 / $38,219.04	Facility		$7,776.00	$7,776.00	$38,219.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $309.83 / $517.24	Professional		$309.83	$309.83	$517.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,220.80 / $7,153.92 / $13,950.14	Professional		$6,220.80	$7,153.92	$13,950.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,054.39 / $14,472.86 / $39,835.92	Facility		$5,054.39	$14,472.86	$39,835.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,849.17 / $4,805.52 / $11,347.77	Professional		$3,849.17	$4,805.52	$11,347.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $9,331.20 / $11,508.48	Professional		$7,776.00	$9,331.20	$11,508.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,629.22 / $5,832.00 / $9,331.20	Facility		$2,629.22	$5,832.00	$9,331.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,652.00 / $13,297.00 / $18,662.40	Professional		$7,652.00	$13,297.00	$18,662.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,808.67 / $8,475.84 / $14,385.60	Facility		$5,808.67	$8,475.84	$14,385.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,520.96 / $9,346.75 / $14,216.08	Professional		$5,520.96	$9,346.75	$14,216.08
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $4,043.52 / $10,377.85	Professional		$3,265.92	$4,043.52	$10,377.85