Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $9,549.93	Facility		$2,137.96	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $3,019.95	Professional		$1,737.80	$2,089.30	$3,019.95
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 $1,621.81 / $2,187.76 / $3,019.95	Professional		$1,621.81	$2,187.76	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,884.03	Professional		$1,698.24	$2,137.96	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $4,073.80	Professional		$1,698.24	$2,398.83	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,238.72	Professional		$1,513.56	$1,819.70	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,073.80	Professional		$2,691.53	$3,467.37	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $3,890.45	Facility		$1,737.80	$2,570.40	$3,890.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $8,511.38	Facility		$1,621.81	$2,290.87	$8,511.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $8,511.38	Professional		$1,621.81	$2,290.87	$8,511.38
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 $1,548.82 / $2,570.40 / $3,981.07	Professional		$1,548.82	$2,570.40	$3,981.07