Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $10,964.78	Professional		$4,265.80	$5,888.44	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $23,442.29	Professional		$11,220.18	$11,220.18	$23,442.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $8,317.64	Facility		$7,585.78	$7,585.78	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $7,585.78	Professional		$6,456.54	$6,456.54	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $10,000.00 / $13,182.57	Professional		$8,128.31	$10,000.00	$13,182.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $13,489.63 / $13,489.63	Professional		$10,232.93	$13,489.63	$13,489.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,585.78 / $19,054.61	Facility		$4,677.35	$7,585.78	$19,054.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $7,585.78	Professional		$6,309.57	$6,309.57	$7,585.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $19,498.45	Facility		$6,165.95	$10,232.93	$19,498.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $19,498.45	Professional		$6,165.95	$10,232.93	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $14,125.38	Facility		$6,918.31	$8,317.64	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,079.46 / $14,454.40	Professional		$5,370.32	$7,079.46	$14,454.40