Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $9,549.93	Facility		$1,995.26	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,754.23	Professional		$1,621.81	$1,949.84	$2,754.23
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 $1,513.56 / $1,995.26 / $2,754.23	Professional		$1,513.56	$1,995.26	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,691.53	Professional		$1,584.89	$1,995.26	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $3,090.30	Professional		$1,698.24	$2,137.96	$3,090.30
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 $2,398.83 / $3,090.30 / $3,715.35	Professional		$2,398.83	$3,090.30	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,630.78	Facility		$1,584.89	$2,511.89	$3,630.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $7,762.47	Facility		$1,479.11	$2,238.72	$7,762.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $7,762.47	Professional		$1,479.11	$2,238.72	$7,762.47
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 $1,445.44 / $2,344.23 / $3,630.78	Professional		$1,445.44	$2,344.23	$3,630.78