Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,879.47 / $10,879.47 / $10,995.29	Facility		$10,879.47	$10,879.47	$10,995.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,873.12 / $10,879.47 / $11,303.15	Professional		$9,873.12	$10,879.47	$11,303.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,628.43 / $20,628.43 / $21,907.39	Facility		$20,628.43	$20,628.43	$21,907.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,303.16 / $11,303.16 / $14,641.62	Professional		$11,303.16	$11,303.16	$14,641.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12,401.91 / $12,401.91 / $14,101.47	Professional		$12,401.91	$12,401.91	$14,101.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,752.32 / $12,752.32 / $12,752.32	Facility		$12,752.32	$12,752.32	$12,752.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,309.19 / $9,309.19 / $12,752.32	Professional		$9,309.19	$9,309.19	$12,752.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,439.90 / $18,565.59 / $24,754.12	Professional		$14,439.90	$18,565.59	$24,754.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,364.39 / $12,686.86 / $23,048.86	Facility		$6,364.39	$12,686.86	$23,048.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15,693.16 / $27,095.54 / $34,360.29	Professional		$15,693.16	$27,095.54	$34,360.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11,301.71 / $15,568.11 / $22,853.54	Facility		$11,301.71	$15,568.11	$22,853.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11,301.71 / $15,568.11 / $22,853.54	Professional		$11,301.71	$15,568.11	$22,853.54
United Facility/Professional Professional Modifier Low / Median / High Price $9,388.91 / $10,291.29 / $15,502.39	Professional		$9,388.91	$10,291.29	$15,502.39