Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $9,549.93	Facility		$3,235.94	$4,786.30	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $4,570.88	Professional		$2,691.53	$3,235.94	$4,570.88
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 $2,691.53 / $3,548.13 / $5,011.87	Professional		$2,691.53	$3,548.13	$5,011.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $4,365.16	Professional		$2,754.23	$3,388.44	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,888.44	Professional		$2,398.83	$3,388.44	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $7,413.10	Professional		$2,344.23	$2,951.21	$7,413.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $6,606.93	Professional		$2,691.53	$3,311.31	$6,606.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $6,165.95	Facility		$2,754.23	$3,715.35	$6,165.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $10,000.00	Facility		$2,089.30	$3,548.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $10,000.00	Professional		$2,089.30	$3,548.13	$10,000.00
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 $2,187.76 / $3,235.94 / $5,754.40	Professional		$2,187.76	$3,235.94	$5,754.40