Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $9,549.93	Facility		$1,819.70	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,511.89	Professional		$1,445.44	$1,778.28	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $14,125.38	Facility		$6,760.83	$10,232.93	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,570.40	Professional		$1,380.38	$1,862.09	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,238.72	Professional		$1,318.26	$1,659.59	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,754.23	Professional		$1,318.26	$1,905.46	$2,754.23
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 $1,949.84 / $2,511.89 / $3,388.44	Professional		$1,949.84	$2,511.89	$3,388.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,090.30	Facility		$1,412.54	$2,089.30	$3,090.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $7,413.10	Facility		$1,288.25	$1,949.84	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $7,413.10	Professional		$1,288.25	$1,949.84	$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 $1,288.25 / $1,995.26 / $3,235.94	Professional		$1,288.25	$1,995.26	$3,235.94