Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $25,978.10 / $51,385.20	Facility		$23,789.46	$25,978.10	$51,385.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $23,789.46 / $23,789.46	Professional		$22,390.08	$23,789.46	$23,789.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,004.74 / $6,219.81 / $9,825.50	Facility		$3,004.74	$6,219.81	$9,825.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $22,390.08 / $30,011.66	Professional		$22,390.08	$22,390.08	$30,011.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $22,390.08 / $22,390.08	Professional		$22,390.08	$22,390.08	$22,390.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Facility		$23,789.46	$23,789.46	$23,789.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,164.69 / $3,120.49 / $25,188.84	Professional		$2,164.69	$3,120.49	$25,188.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,865.00 / $23,789.46 / $36,436.94	Facility		$2,865.00	$23,789.46	$36,436.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,908.70 / $4,004.00 / $5,346.38	Professional		$2,908.70	$4,004.00	$5,346.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23,323.00 / $26,821.45 / $34,984.50	Facility		$23,323.00	$26,821.45	$34,984.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $26,821.45 / $34,984.50	Professional		$23,323.00	$26,821.45	$34,984.50
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $24,722.38 / $26,774.80	Professional		$23,323.00	$24,722.38	$26,774.80