Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $9,549.93	Facility		$1,621.81	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,454.71	Professional		$1,258.93	$1,548.82	$2,454.71
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 $1,318.26 / $1,737.80 / $2,454.71	Professional		$1,318.26	$1,737.80	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,238.72	Professional		$1,380.38	$1,737.80	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,818.38	Professional		$1,318.26	$1,737.80	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $3,981.07	Professional		$1,258.93	$1,548.82	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,162.28	Professional		$1,819.70	$2,344.23	$3,162.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,951.21	Facility		$1,445.44	$1,905.46	$2,951.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $6,025.60	Facility		$1,288.25	$1,819.70	$6,025.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $6,025.60	Professional		$1,288.25	$1,819.70	$6,025.60
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 $1,096.48 / $1,737.80 / $2,818.38	Professional		$1,096.48	$1,737.80	$2,818.38