Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $9,549.93	Facility		$2,398.83	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,311.31	Professional		$1,949.84	$2,290.87	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $19,054.61 / $26,302.68	Facility		$8,709.64	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,630.78	Professional		$1,905.46	$2,570.40	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,311.31	Professional		$2,089.30	$2,570.40	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,168.69	Professional		$1,819.70	$2,511.89	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $5,248.07	Professional		$1,698.24	$2,089.30	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $4,786.30	Professional		$2,041.74	$2,691.53	$4,786.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,365.16	Facility		$1,949.84	$2,691.53	$4,365.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $7,585.78	Facility		$1,621.81	$2,630.27	$7,585.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $7,585.78	Professional		$1,621.81	$2,630.27	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,168.69	Professional		$1,548.82	$2,344.23	$4,168.69