Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $9,549.93	Facility		$1,584.89	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,187.76	Professional		$1,258.93	$1,513.56	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,238.72	Professional		$1,202.26	$1,584.89	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,137.96	Professional		$1,258.93	$1,584.89	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,454.71	Professional		$1,288.25	$1,698.24	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,698.24	Professional		$1,148.15	$1,380.38	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,951.21	Professional		$1,778.28	$2,290.87	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,884.03	Facility		$1,318.26	$1,862.09	$2,884.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $7,413.10	Facility		$1,202.26	$1,778.28	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $7,413.10	Professional		$1,202.26	$1,778.28	$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 $1,122.02 / $1,737.80 / $2,818.38	Professional		$1,122.02	$1,737.80	$2,818.38