Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,482.35 / $21,603.28 / $21,603.28	Facility		$15,482.35	$21,603.28	$21,603.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,482.35 / $21,603.28 / $22,136.92	Professional		$15,482.35	$21,603.28	$22,136.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37,828.21 / $37,828.21 / $40,173.56	Facility		$37,828.21	$37,828.21	$40,173.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27,204.15 / $54,000.00 / $367,460.80	Professional		$27,204.15	$54,000.00	$367,460.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26,479.75 / $26,479.75 / $26,479.75	Professional		$26,479.75	$26,479.75	$26,479.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45,241.78 / $45,241.78 / $45,241.78	Facility		$45,241.78	$45,241.78	$45,241.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $31,019.05 / $31,019.05	Professional		$31,019.05	$31,019.05	$31,019.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28,371.16 / $34,045.39 / $45,393.85	Professional		$28,371.16	$34,045.39	$45,393.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17,224.32 / $27,706.21 / $37,828.21	Facility		$17,224.32	$27,706.21	$37,828.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36,746.08 / $36,746.08 / $36,746.08	Professional		$36,746.08	$36,746.08	$36,746.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24,842.77 / $33,123.69 / $47,285.26	Facility		$24,842.77	$33,123.69	$47,285.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24,842.77 / $33,123.69 / $47,285.26	Professional		$24,842.77	$33,123.69	$47,285.26
United Facility/Professional Professional Modifier Low / Median / High Price $18,880.50 / $19,874.21 / $33,123.69	Professional		$18,880.50	$19,874.21	$33,123.69