Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,462.26 / $5,462.26 / $5,520.41	Facility		$5,462.26	$5,462.26	$5,520.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,911.51 / $5,462.26 / $5,658.08	Professional		$4,911.51	$5,462.26	$5,658.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,356.91 / $10,356.91 / $10,999.04	Facility		$10,356.91	$10,356.91	$10,999.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,543.68 / $6,543.68 / $8,180.25	Professional		$6,543.68	$6,543.68	$8,180.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,553.00 / $5,553.00 / $7,079.92	Professional		$5,553.00	$5,553.00	$7,079.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $7,503.37	Facility		$7,503.37	$7,503.37	$7,503.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $5,477.46 / $7,503.37	Professional		$5,477.46	$5,477.46	$7,503.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,249.84 / $9,321.21 / $12,428.29	Professional		$7,249.84	$9,321.21	$12,428.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,034.15 / $6,369.70 / $11,620.63	Facility		$3,034.15	$6,369.70	$11,620.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,157.00 / $13,603.86 / $17,251.27	Professional		$6,157.00	$13,603.86	$17,251.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,674.26 / $7,839.51 / $11,321.86	Facility		$5,674.26	$7,839.51	$11,321.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,674.26 / $7,839.51 / $11,321.86	Professional		$5,674.26	$7,839.51	$11,321.86
United Facility/Professional Professional Modifier Low / Median / High Price $4,699.85 / $5,166.95 / $7,412.66	Professional		$4,699.85	$5,166.95	$7,412.66