Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $9,549.93	Facility		$1,621.81	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,187.76	Professional		$1,288.25	$1,548.82	$2,187.76
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 $1,230.27 / $1,621.81 / $2,238.72	Professional		$1,230.27	$1,621.81	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,344.23	Professional		$1,380.38	$1,698.24	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,454.71	Professional		$1,288.25	$1,659.59	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,737.80	Professional		$1,174.90	$1,412.54	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,951.21	Professional		$1,659.59	$2,089.30	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,951.21	Facility		$1,348.96	$1,819.70	$2,951.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $7,413.10	Facility		$1,174.90	$1,737.80	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $7,413.10	Professional		$1,174.90	$1,737.80	$7,413.10
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 $1,148.15 / $1,737.80 / $2,884.03	Professional		$1,148.15	$1,737.80	$2,884.03