Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $9,549.93	Facility		$2,511.89	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,467.37	Professional		$2,041.74	$2,454.71	$3,467.37
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 $1,905.46 / $2,511.89 / $3,548.13	Professional		$1,905.46	$2,511.89	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,630.78	Professional		$2,137.96	$2,691.53	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,890.45	Professional		$2,041.74	$2,754.23	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,691.53	Professional		$1,819.70	$2,187.76	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $4,677.35	Professional		$2,884.03	$3,548.13	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $4,677.35	Facility		$2,089.30	$3,090.30	$4,677.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $9,772.37	Facility		$1,862.09	$2,691.53	$9,772.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $9,772.37	Professional		$1,862.09	$2,691.53	$9,772.37
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 $1,819.70 / $2,818.38 / $4,570.88	Professional		$1,819.70	$2,818.38	$4,570.88