Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,293.43 / $5,293.43 / $5,349.79	Facility		$5,293.43	$5,293.43	$5,349.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,888.27 / $5,293.43 / $5,539.84	Professional		$4,888.27	$5,293.43	$5,539.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,036.81 / $10,036.81 / $10,659.09	Facility		$10,036.81	$10,036.81	$10,659.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,635.06 / $5,635.06 / $7,177.15	Professional		$5,635.06	$5,635.06	$7,177.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,864.17 / $5,864.17 / $6,861.10	Professional		$5,864.17	$5,864.17	$6,861.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $6,652.12	Facility		$6,652.12	$6,652.12	$6,652.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $6,652.12	Professional		$4,856.05	$4,856.05	$6,652.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,025.77 / $9,033.12 / $12,044.17	Professional		$7,025.77	$9,033.12	$12,044.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,970.74 / $6,193.31 / $11,425.15	Facility		$2,970.74	$6,193.31	$11,425.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,253.61 / $13,183.40 / $16,718.08	Professional		$7,253.61	$13,183.40	$16,718.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,498.86 / $7,609.30 / $11,485.36	Facility		$5,498.86	$7,609.30	$11,485.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,498.86 / $7,609.30 / $11,485.36	Professional		$5,498.86	$7,609.30	$11,485.36
United Facility/Professional Professional Modifier Low / Median / High Price $4,601.64 / $5,007.25 / $7,183.53	Professional		$4,601.64	$5,007.25	$7,183.53