Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $9,549.93	Facility		$2,187.76	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,019.95	Professional		$1,778.28	$2,089.30	$3,019.95
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 $1,659.59 / $2,187.76 / $3,090.30	Professional		$1,659.59	$2,187.76	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,162.28	Professional		$1,862.09	$2,344.23	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,388.44	Professional		$1,778.28	$2,398.83	$3,388.44
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 $2,570.40 / $3,235.94 / $4,073.80	Professional		$2,570.40	$3,235.94	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $4,073.80	Facility		$1,819.70	$2,630.27	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $8,511.38	Facility		$1,621.81	$2,344.23	$8,511.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $8,511.38	Professional		$1,621.81	$2,344.23	$8,511.38
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 / $2,454.71 / $3,981.07	Professional		$1,548.82	$2,454.71	$3,981.07