Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,250.41 / $6,250.41 / $6,316.96	Facility		$6,250.41	$6,250.41	$6,316.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,899.41 / $6,250.41 / $6,892.78	Professional		$5,899.41	$6,250.41	$6,892.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,851.35 / $11,851.35 / $12,586.13	Facility		$11,851.35	$11,851.35	$12,586.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,777.58 / $6,777.58 / $8,831.99	Professional		$6,777.58	$6,777.58	$8,831.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,355.00 / $6,355.00 / $8,101.51	Professional		$6,355.00	$6,355.00	$8,101.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $8,732.85	Facility		$8,732.85	$8,732.85	$8,732.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $6,374.98 / $8,732.85	Professional		$6,374.98	$6,374.98	$8,732.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,295.95 / $10,666.22 / $14,221.62	Professional		$8,295.95	$10,666.22	$14,221.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,573.07 / $7,288.78 / $13,241.90	Facility		$3,573.07	$7,288.78	$13,241.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,238.00 / $15,566.80 / $19,740.50	Professional		$6,238.00	$15,566.80	$19,740.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6,493.00 / $8,906.35 / $12,955.52	Facility		$6,493.00	$8,906.35	$12,955.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6,493.00 / $8,906.35 / $12,955.52	Professional		$6,493.00	$8,906.35	$12,955.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $5,510.32 / $5,912.50 / $8,528.70	Professional		$5,510.32	$5,912.50	$8,528.70