Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $9,549.93	Facility		$1,737.80	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,454.71	Professional		$1,412.54	$1,698.24	$2,454.71
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 $1,318.26 / $1,778.28 / $2,454.71	Professional		$1,318.26	$1,778.28	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,398.83	Professional		$1,412.54	$1,778.28	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,754.23	Professional		$1,380.38	$1,905.46	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,819.70	Professional		$1,230.27	$1,479.11	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,311.31	Professional		$2,089.30	$2,754.23	$3,311.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,090.30	Facility		$1,412.54	$2,187.76	$3,090.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $7,413.10	Facility		$1,258.93	$1,995.26	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $7,413.10	Professional		$1,258.93	$1,995.26	$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 $1,258.93 / $2,089.30 / $3,162.28	Professional		$1,258.93	$2,089.30	$3,162.28