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 $1,698.24 / $2,041.74 / $3,630.78	Professional		$1,698.24	$2,041.74	$3,630.78
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 $1,621.81 / $2,137.96 / $2,951.21	Professional		$1,621.81	$2,137.96	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,090.30	Professional		$1,778.28	$2,238.72	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,890.45	Professional		$1,659.59	$2,290.87	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,238.72	Professional		$1,513.56	$1,819.70	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,981.07	Professional		$2,511.89	$3,090.30	$3,981.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,890.45	Facility		$1,737.80	$2,454.71	$3,890.45
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 $1,513.56 / $2,398.83 / $3,890.45	Professional		$1,513.56	$2,398.83	$3,890.45