Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,730.82 / $6,730.82 / $6,802.47	Facility		$6,730.82	$6,730.82	$6,802.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,312.68 / $6,730.82 / $7,358.07	Professional		$6,312.68	$6,730.82	$7,358.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,762.21 / $12,762.21 / $13,553.47	Facility		$12,762.21	$12,762.21	$13,553.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,450.05 / $7,450.05 / $9,400.69	Professional		$7,450.05	$7,450.05	$9,400.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,843.00 / $6,843.00 / $8,724.17	Professional		$6,843.00	$6,843.00	$8,724.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $9,077.06	Facility		$9,077.06	$9,077.06	$9,077.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $6,626.25 / $9,077.06	Professional		$6,626.25	$6,626.25	$9,077.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,933.54 / $11,485.99 / $15,314.65	Professional		$8,933.54	$11,485.99	$15,314.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,945.77 / $7,848.99 / $14,319.39	Facility		$3,945.77	$7,848.99	$14,319.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,235.00 / $16,763.23 / $21,257.72	Professional		$7,235.00	$16,763.23	$21,257.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6,992.04 / $9,590.87 / $13,951.26	Facility		$6,992.04	$9,590.87	$13,951.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6,992.04 / $9,590.87 / $13,951.26	Professional		$6,992.04	$9,590.87	$13,951.26
United Facility/Professional Professional Modifier Low / Median / High Price $5,754.53 / $6,366.93 / $9,418.33	Professional		$5,754.53	$6,366.93	$9,418.33