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 / $2,238.72 / $3,235.94	Professional		$1,862.09	$2,238.72	$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 / $2,344.23 / $3,235.94	Professional		$1,737.80	$2,344.23	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,311.31	Professional		$1,949.84	$2,454.71	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,630.78	Professional		$1,862.09	$2,511.89	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,398.83	Professional		$1,621.81	$1,949.84	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,365.16	Professional		$2,754.23	$3,630.78	$4,365.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $4,168.69	Facility		$1,862.09	$2,884.03	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $10,000.00	Facility		$1,659.59	$2,511.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $10,000.00	Professional		$1,659.59	$2,511.89	$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 $1,659.59 / $2,691.53 / $4,168.69	Professional		$1,659.59	$2,691.53	$4,168.69