Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $9,549.93	Facility		$2,884.03	$3,981.07	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $4,786.30	Professional		$2,290.87	$2,754.23	$4,786.30
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 $2,137.96 / $2,884.03 / $3,981.07	Professional		$2,137.96	$2,884.03	$3,981.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,073.80	Professional		$2,398.83	$3,019.95	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,466.84	Professional		$2,290.87	$2,951.21	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,019.95	Professional		$2,041.74	$2,454.71	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $5,370.32	Professional		$2,691.53	$3,467.37	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $5,248.07	Facility		$2,344.23	$3,235.94	$5,248.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $10,000.00	Facility		$1,905.46	$3,019.95	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $10,000.00	Professional		$1,905.46	$3,019.95	$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 $2,041.74 / $3,090.30 / $5,128.61	Professional		$2,041.74	$3,090.30	$5,128.61