Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $17,782.79	Professional		$8,912.51	$10,964.78	$17,782.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $22,387.21	Facility		$20,892.96	$20,892.96	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $23,442.29	Professional		$11,220.18	$11,220.18	$23,442.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $14,454.40	Professional		$12,302.69	$12,302.69	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,882.50 / $12,882.50	Facility		$8,912.51	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $12,882.50	Professional		$9,332.54	$9,332.54	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $20,892.96 / $29,512.09	Professional		$14,791.08	$20,892.96	$29,512.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $19,054.61	Professional		$15,488.17	$15,488.17	$19,054.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $14,791.08 / $24,547.09	Facility		$8,912.51	$14,791.08	$24,547.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,589.25 / $13,803.84	Professional		$11,220.18	$12,589.25	$13,803.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $28,840.32	Facility		$11,220.18	$16,595.87	$28,840.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $28,840.32	Professional		$11,220.18	$16,595.87	$28,840.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $14,125.38 / $30,199.52	Facility		$7,079.46	$14,125.38	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,232.93 / $16,218.10	Professional		$9,332.54	$10,232.93	$16,218.10