Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $9,549.93	Facility		$2,630.27	$3,715.35	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,715.35	Professional		$2,137.96	$2,570.40	$3,715.35
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 $1,995.26 / $2,691.53 / $3,715.35	Professional		$1,995.26	$2,691.53	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,890.45	Professional		$2,290.87	$2,884.03	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $5,011.87	Professional		$2,137.96	$2,884.03	$5,011.87
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 $3,311.31 / $4,168.69 / $5,011.87	Professional		$3,311.31	$4,168.69	$5,011.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $4,570.88	Facility		$2,137.96	$3,162.28	$4,570.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $10,000.00	Facility		$1,905.46	$2,884.03	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $10,000.00	Professional		$1,905.46	$2,884.03	$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 $1,905.46 / $3,019.95 / $4,897.79	Professional		$1,905.46	$3,019.95	$4,897.79