Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,168.69 / $9,549.93	Facility		$2,951.21	$4,168.69	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $4,168.69	Professional		$2,398.83	$2,884.03	$4,168.69
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 $2,238.72 / $3,019.95 / $4,168.69	Professional		$2,238.72	$3,019.95	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $4,365.16	Professional		$2,570.40	$3,235.94	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $5,623.41	Professional		$2,398.83	$3,235.94	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,090.30	Professional		$2,089.30	$2,511.89	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $5,623.41	Professional		$3,715.35	$4,677.35	$5,623.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $5,248.07	Facility		$2,398.83	$3,548.13	$5,248.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $10,000.00	Facility		$2,089.30	$3,235.94	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $10,000.00	Professional		$2,089.30	$3,235.94	$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 $2,137.96 / $3,388.44 / $5,495.41	Professional		$2,137.96	$3,388.44	$5,495.41