Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $9,549.93	Facility		$2,951.21	$4,073.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $3,890.45	Professional		$1,513.56	$2,818.38	$3,890.45
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 $2,187.76 / $2,884.03 / $4,073.80	Professional		$2,187.76	$2,884.03	$4,073.80
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 $1,737.80 / $2,570.40 / $4,466.84	Professional		$1,737.80	$2,570.40	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,019.95	Professional		$2,041.74	$2,454.71	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $5,370.32	Professional		$1,862.09	$2,290.87	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,897.79	Facility		$1,995.26	$2,884.03	$4,897.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $10,000.00	Facility		$1,412.54	$2,884.03	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $10,000.00	Professional		$1,412.54	$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 $1,445.44 / $2,344.23 / $5,128.61	Professional		$1,445.44	$2,344.23	$5,128.61