Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $9,549.93	Facility		$2,290.87	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,235.94	Professional		$1,862.09	$2,187.76	$3,235.94
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 $1,737.80 / $2,290.87 / $3,162.28	Professional		$1,737.80	$2,290.87	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,311.31	Professional		$1,905.46	$2,398.83	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,467.37	Professional		$1,778.28	$2,454.71	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,454.71	Professional		$1,659.59	$1,995.26	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,168.69	Professional		$2,691.53	$3,311.31	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,168.69	Facility		$1,905.46	$2,691.53	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $8,709.64	Facility		$1,659.59	$2,398.83	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $8,709.64	Professional		$1,659.59	$2,398.83	$8,709.64
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 $1,621.81 / $2,570.40 / $4,073.80	Professional		$1,621.81	$2,570.40	$4,073.80