Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $9,549.93	Facility		$1,737.80	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,511.89	Professional		$1,380.38	$1,659.59	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,630.27	Professional		$1,380.38	$1,862.09	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,511.89	Professional		$1,584.89	$1,949.84	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,311.31	Professional		$1,380.38	$1,862.09	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $4,265.80	Professional		$1,348.96	$1,659.59	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,388.44	Professional		$1,905.46	$2,398.83	$3,388.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,162.28	Facility		$1,513.56	$2,041.74	$3,162.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $6,456.54	Facility		$1,318.26	$1,905.46	$6,456.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $6,456.54	Professional		$1,318.26	$1,905.46	$6,456.54
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 $1,174.90 / $1,819.70 / $3,019.95	Professional		$1,174.90	$1,819.70	$3,019.95