Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $9,549.93	Facility		$2,344.23	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,311.31	Professional		$1,905.46	$2,290.87	$3,311.31
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 $1,778.28 / $2,398.83 / $3,311.31	Professional		$1,778.28	$2,398.83	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,162.28	Professional		$1,862.09	$2,344.23	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,715.35	Professional		$1,995.26	$2,570.40	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,454.71	Professional		$1,659.59	$1,995.26	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Professional		$2,818.38	$3,715.35	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,365.16	Facility		$1,905.46	$2,951.21	$4,365.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $9,332.54	Facility		$1,737.80	$2,630.27	$9,332.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $9,332.54	Professional		$1,737.80	$2,630.27	$9,332.54
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 $1,698.24 / $2,818.38 / $4,365.16	Professional		$1,698.24	$2,818.38	$4,365.16