Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,349.22 / $5,349.22 / $5,406.17	Facility		$5,349.22	$5,349.22	$5,406.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,391.42 / $5,349.22 / $5,554.10	Professional		$4,391.42	$5,349.22	$5,554.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,142.60 / $10,142.60 / $10,771.44	Facility		$10,142.60	$10,142.60	$10,771.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.53 / $5,623.53 / $7,211.98	Professional		$5,623.53	$5,623.53	$7,211.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,438.00 / $5,438.00 / $6,933.42	Professional		$5,438.00	$5,438.00	$6,933.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $7,261.93	Facility		$7,261.93	$7,261.93	$7,261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $6,777.00	Professional		$5,301.21	$5,301.21	$6,777.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,099.82 / $9,128.34 / $12,171.12	Professional		$7,099.82	$9,128.34	$12,171.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,978.39 / $6,237.88 / $11,380.14	Facility		$2,978.39	$6,237.88	$11,380.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,063.00 / $13,322.35 / $16,894.29	Professional		$6,063.00	$13,322.35	$16,894.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,556.83 / $7,622.22 / $11,087.57	Facility		$5,556.83	$7,622.22	$11,087.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,556.83 / $7,622.22 / $11,087.57	Professional		$5,556.83	$7,622.22	$11,087.57
United Facility/Professional Professional Modifier Low / Median / High Price $4,613.50 / $5,060.03 / $7,259.26	Professional		$4,613.50	$5,060.03	$7,259.26