Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,192.79 / $11,192.79 / $11,311.95	Facility		$11,192.79	$11,192.79	$11,311.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,406.58 / $11,192.79 / $11,519.83	Professional		$10,406.58	$11,192.79	$11,519.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,222.51 / $21,222.51 / $22,538.31	Facility		$21,222.51	$21,222.51	$22,538.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,663.83 / $11,663.83 / $14,941.06	Professional		$11,663.83	$11,663.83	$14,941.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11,149.90 / $11,149.90 / $14,507.58	Professional		$11,149.90	$11,149.90	$14,507.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $13,847.37	Facility		$13,847.37	$13,847.37	$13,847.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $10,108.58 / $13,847.37	Professional		$10,108.58	$10,108.58	$13,847.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,855.76 / $19,100.25 / $25,467.01	Professional		$14,855.76	$19,100.25	$25,467.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,177.51 / $13,052.24 / $23,712.67	Facility		$6,177.51	$13,052.24	$23,712.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11,098.00 / $27,875.88 / $35,349.83	Professional		$11,098.00	$27,875.88	$35,349.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11,045.84 / $15,932.91 / $23,199.79	Facility		$11,045.84	$15,932.91	$23,199.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11,045.84 / $15,932.91 / $23,199.79	Professional		$11,045.84	$15,932.91	$23,199.79
United Facility/Professional Professional Modifier Low / Median / High Price $9,569.32 / $10,587.68 / $15,189.39	Professional		$9,569.32	$10,587.68	$15,189.39