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 $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,311.31	Professional		$1,778.28	$2,344.23	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,388.44	Professional		$1,995.26	$2,511.89	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,365.16	Professional		$1,862.09	$2,511.89	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,570.40	Professional		$1,737.80	$2,089.30	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,466.84	Professional		$2,754.23	$3,467.37	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,981.07	Facility		$1,995.26	$2,754.23	$3,981.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $10,000.00	Facility		$1,737.80	$2,570.40	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $10,000.00	Professional		$1,737.80	$2,570.40	$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 $1,698.24 / $2,630.27 / $4,265.80	Professional		$1,698.24	$2,630.27	$4,265.80