Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $9,549.93	Facility		$1,905.46	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,630.27	Professional		$1,584.89	$1,862.09	$2,630.27
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 $1,445.44 / $1,905.46 / $2,691.53	Professional		$1,445.44	$1,905.46	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,754.23	Professional		$1,621.81	$2,041.74	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,951.21	Professional		$1,548.82	$2,041.74	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,089.30	Professional		$1,412.54	$1,698.24	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,548.13	Professional		$2,137.96	$2,691.53	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,548.13	Facility		$1,621.81	$2,290.87	$3,548.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $7,585.78	Facility		$1,412.54	$2,089.30	$7,585.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $7,585.78	Professional		$1,412.54	$2,089.30	$7,585.78
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 $1,380.38 / $2,089.30 / $3,467.37	Professional		$1,380.38	$2,089.30	$3,467.37