Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $9,549.93	Facility		$2,344.23	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,235.94	Professional		$1,862.09	$2,187.76	$3,235.94
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 $1,819.70 / $2,454.71 / $3,467.37	Professional		$1,819.70	$2,454.71	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,162.28	Professional		$1,995.26	$2,454.71	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,073.80	Professional		$1,621.81	$2,344.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,248.07	Professional		$1,659.59	$2,089.30	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,570.88	Professional		$1,949.84	$2,630.27	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,168.69	Facility		$1,905.46	$2,570.40	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $7,413.10	Facility		$1,548.82	$2,454.71	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $7,413.10	Professional		$1,548.82	$2,454.71	$7,413.10
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 $1,479.11 / $2,238.72 / $3,890.45	Professional		$1,479.11	$2,238.72	$3,890.45