Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $9,549.93	Facility		$2,454.71	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $3,311.31	Professional		$1,949.84	$2,344.23	$3,311.31
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 $1,819.70 / $2,454.71 / $3,388.44	Professional		$1,819.70	$2,454.71	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,467.37	Professional		$2,041.74	$2,570.40	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,466.84	Professional		$1,949.84	$2,570.40	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,570.40	Professional		$1,737.80	$2,089.30	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $4,466.84	Professional		$3,090.30	$3,801.89	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,466.84	Facility		$1,995.26	$2,818.38	$4,466.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $10,000.00	Facility		$1,737.80	$2,570.40	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $10,000.00	Professional		$1,737.80	$2,570.40	$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 $1,737.80 / $2,754.23 / $4,365.16	Professional		$1,737.80	$2,754.23	$4,365.16