Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $9,549.93	Facility		$2,137.96	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,951.21	Professional		$1,778.28	$2,089.30	$2,951.21
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 $1,621.81 / $2,137.96 / $3,019.95	Professional		$1,621.81	$2,137.96	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,090.30	Professional		$1,819.70	$2,290.87	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,311.31	Professional		$1,737.80	$2,290.87	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,344.23	Professional		$1,584.89	$1,905.46	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,981.07	Professional		$2,454.71	$3,090.30	$3,981.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $3,981.07	Facility		$1,819.70	$2,630.27	$3,981.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $8,317.64	Facility		$1,584.89	$2,290.87	$8,317.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $8,317.64	Professional		$1,584.89	$2,290.87	$8,317.64
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 $1,548.82 / $2,398.83 / $3,890.45	Professional		$1,548.82	$2,398.83	$3,890.45