Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $97,723.72 / $151,356.12	Facility		$43,651.58	$97,723.72	$151,356.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $56,234.13	Professional		$43,651.58	$43,651.58	$56,234.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $81,283.05 / $147,910.84	Facility		$43,651.58	$81,283.05	$147,910.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $72,443.60	Professional		$43,651.58	$43,651.58	$72,443.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $70,794.58	Professional		$43,651.58	$43,651.58	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $43,651.58 / $43,651.58	Facility		$40,738.03	$43,651.58	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Professional		$43,651.58	$43,651.58	$43,651.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36,307.81 / $43,651.58 / $53,703.18	Professional		$36,307.81	$43,651.58	$53,703.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $22,908.68	Professional		$14,791.08	$14,791.08	$22,908.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $46,773.51 / $70,794.58	Facility		$25,703.96	$46,773.51	$70,794.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $52,480.75 / $52,480.75	Professional		$46,773.51	$52,480.75	$52,480.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $51,286.14 / $63,095.73	Facility		$40,738.03	$51,286.14	$63,095.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40,738.03 / $51,286.14 / $63,095.73	Professional		$40,738.03	$51,286.14	$63,095.73
United Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $44,668.36 / $74,131.02	Facility		$43,651.58	$44,668.36	$74,131.02
United Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $45,708.82 / $51,286.14	Professional		$43,651.58	$45,708.82	$51,286.14