Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $11,748.98	Facility		$3,235.94	$4,786.30	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $5,754.40	Professional		$3,388.44	$4,168.69	$5,754.40
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 $3,235.94 / $4,265.80 / $6,025.60	Professional		$3,235.94	$4,265.80	$6,025.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $6,165.95	Professional		$3,630.78	$4,570.88	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,570.88 / $7,943.28	Professional		$3,388.44	$4,570.88	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $4,466.84	Professional		$3,019.95	$3,630.78	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $7,943.28	Professional		$4,365.16	$5,370.32	$7,943.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $7,762.47	Facility		$3,467.37	$4,897.79	$7,762.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $10,000.00	Facility		$2,344.23	$4,466.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $10,000.00	Professional		$2,344.23	$4,466.84	$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 $3,090.30 / $4,786.30 / $7,762.47	Professional		$3,090.30	$4,786.30	$7,762.47