Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $9,549.93	Facility		$2,691.53	$3,801.89	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $3,715.35	Professional		$2,187.76	$2,630.27	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,801.89	Professional		$2,041.74	$2,691.53	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,801.89	Professional		$2,238.72	$2,754.23	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $4,265.80	Professional		$2,238.72	$2,951.21	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,754.23	Professional		$1,862.09	$2,238.72	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $5,128.61	Professional		$3,162.28	$4,073.80	$5,128.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $4,897.79	Facility		$2,137.96	$3,311.31	$4,897.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $10,000.00	Facility		$1,949.84	$2,951.21	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $10,000.00	Professional		$1,949.84	$2,951.21	$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 $1,949.84 / $3,090.30 / $5,011.87	Professional		$1,949.84	$3,090.30	$5,011.87