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 $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 $1,737.80 / $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 $1,819.70 / $2,290.87 / $3,090.30	Professional		$1,819.70	$2,290.87	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,365.16	Professional		$1,819.70	$2,570.40	$4,365.16
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 $2,884.03 / $3,715.35 / $4,365.16	Professional		$2,884.03	$3,715.35	$4,365.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,265.80	Facility		$1,862.09	$2,818.38	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $9,120.11	Facility		$1,737.80	$2,511.89	$9,120.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $9,120.11	Professional		$1,737.80	$2,511.89	$9,120.11
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 / $2,754.23 / $4,265.80	Professional		$1,659.59	$2,754.23	$4,265.80