Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,456.54 / $6,456.54	Facility		$6,309.57	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,309.57 / $10,000.00	Professional		$5,248.07	$6,309.57	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $13,182.57	Facility		$12,302.69	$12,302.69	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $15,135.61	Professional		$7,244.36	$7,244.36	$15,135.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $8,511.38	Professional		$6,456.54	$6,456.54	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,128.31 / $8,128.31	Facility		$5,248.07	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,128.31	Professional		$5,888.44	$5,888.44	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $12,302.69 / $17,378.01	Professional		$8,709.64	$12,302.69	$17,378.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $8,128.31 / $12,022.64	Professional		$6,309.57	$8,128.31	$12,022.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,912.51 / $15,488.17	Facility		$5,128.61	$8,912.51	$15,488.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,079.46 / $8,128.31	Professional		$6,606.93	$7,079.46	$8,128.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $16,595.87	Facility		$6,606.93	$10,000.00	$16,595.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $16,595.87	Professional		$6,606.93	$10,000.00	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,912.51 / $16,218.10	Facility		$4,466.84	$8,912.51	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,025.60 / $9,120.11	Professional		$5,623.41	$6,025.60	$9,120.11