Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $9,549.93	Facility		$1,905.46	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,630.27	Professional		$1,548.82	$1,862.09	$2,630.27
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 $1,445.44 / $1,905.46 / $2,691.53	Professional		$1,445.44	$1,905.46	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,630.27	Professional		$1,548.82	$1,949.84	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,951.21	Professional		$1,548.82	$2,041.74	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,041.74	Professional		$1,380.38	$1,659.59	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,548.13	Professional		$2,187.76	$2,754.23	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $3,467.37	Facility		$1,584.89	$2,290.87	$3,467.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $7,413.10	Facility		$1,380.38	$2,041.74	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $7,413.10	Professional		$1,380.38	$2,041.74	$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 $1,380.38 / $2,137.96 / $3,467.37	Professional		$1,380.38	$2,137.96	$3,467.37