Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,992.38 / $29,845.26 / $64,465.80	Facility		$16,992.38	$29,845.26	$64,465.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.10 / $34,108.90	Professional		$28,424.06	$28,424.10	$34,108.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $58,837.80 / $92,946.68	Facility		$28,424.06	$58,837.80	$92,946.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $38,099.61	Professional		$28,424.06	$28,424.06	$38,099.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $34,055.24	Professional		$28,424.06	$28,424.06	$34,055.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,815.15 / $26,815.15 / $28,424.06	Facility		$26,815.15	$26,815.15	$28,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $28,424.06	Professional		$28,424.06	$28,424.06	$28,424.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24,160.45 / $28,424.06 / $34,108.87	Professional		$24,160.45	$28,424.06	$34,108.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,577.92 / $28,424.06 / $42,796.98	Facility		$2,577.92	$28,424.06	$42,796.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,148.50 / $29,430.40 / $41,259.76	Professional		$7,148.50	$29,430.40	$41,259.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $32,178.18 / $42,636.09	Facility		$28,424.06	$32,178.18	$42,636.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $32,178.18 / $42,636.09	Professional		$28,424.06	$32,178.18	$42,636.09
United Facility/Professional Facility Modifier Low / Median / High Price $102,868.01 / $102,868.01 / $102,868.01	Facility		$102,868.01	$102,868.01	$102,868.01
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $30,129.50 / $32,133.40	Professional		$28,424.06	$30,129.50	$32,133.40