Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,101.93 / $22,101.93 / $22,337.24	Facility		$22,101.93	$22,101.93	$22,337.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,549.43 / $22,101.93 / $23,548.73	Professional		$20,549.43	$22,101.93	$23,548.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41,907.21 / $41,907.21 / $44,505.46	Facility		$41,907.21	$41,907.21	$44,505.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23,953.47 / $23,953.47 / $30,633.42	Professional		$23,953.47	$23,953.47	$30,633.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22,551.98 / $23,485.07 / $28,647.51	Professional		$22,551.98	$23,485.07	$28,647.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $30,391.12 / $30,391.12	Facility		$30,391.12	$30,391.12	$30,391.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $22,185.52 / $30,391.12	Professional		$22,185.52	$22,185.52	$30,391.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29,335.05 / $37,716.49 / $50,288.65	Professional		$29,335.05	$37,716.49	$50,288.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12,628.02 / $25,773.70 / $46,824.38	Facility		$12,628.02	$25,773.70	$46,824.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22,046.00 / $55,045.33 / $69,803.86	Professional		$22,046.00	$55,045.33	$69,803.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21,811.74 / $31,462.03 / $45,811.67	Facility		$21,811.74	$31,462.03	$45,811.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21,811.74 / $31,462.03 / $45,811.67	Professional		$21,811.74	$31,462.03	$45,811.67
United Facility/Professional Professional Modifier Low / Median / High Price $19,473.95 / $20,907.05 / $31,493.52	Professional		$19,473.95	$20,907.05	$31,493.52