Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $9,549.93	Facility		$2,511.89	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,467.37	Professional		$1,995.26	$2,398.83	$3,467.37
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 $1,905.46 / $2,511.89 / $3,467.37	Professional		$1,905.46	$2,511.89	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,630.78	Professional		$2,137.96	$2,630.27	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,890.45	Professional		$1,995.26	$2,570.40	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,691.53	Professional		$1,819.70	$2,187.76	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Professional		$2,238.72	$2,818.38	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,570.88	Facility		$2,089.30	$2,818.38	$4,570.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $9,772.37	Facility		$1,548.82	$2,630.27	$9,772.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $9,772.37	Professional		$1,548.82	$2,630.27	$9,772.37
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 $1,778.28 / $2,570.40 / $4,466.84	Professional		$1,778.28	$2,570.40	$4,466.84