Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,165.95 / $11,481.54	Facility		$2,187.76	$6,165.95	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,388.44	Professional		$1,949.84	$2,290.87	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $15,135.61 / $18,197.01	Facility		$11,748.98	$15,135.61	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,949.84	Professional		$1,174.90	$1,174.90	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,630.27	Professional		$2,238.72	$2,398.83	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $14,791.08	Facility		$2,951.21	$5,754.40	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,265.80	Professional		$3,548.13	$3,548.13	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,235.94 / $4,073.80	Professional		$2,951.21	$3,235.94	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $4,570.88	Facility		$2,187.76	$2,818.38	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $6,165.95	Professional		$1,905.46	$1,905.46	$6,165.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $2,951.21 / $5,623.41	Facility		$67.61	$2,951.21	$5,623.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $2,951.21 / $5,623.41	Professional		$67.61	$2,951.21	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $3,467.37	Facility		$1,737.80	$2,951.21	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $3,388.44	Professional		$1,230.27	$1,445.44	$3,388.44