Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $9,549.93	Facility		$2,238.72	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,630.78	Professional		$1,905.46	$2,238.72	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $22,387.21 / $38,018.94	Facility		$12,882.50	$22,387.21	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,715.35	Professional		$1,949.84	$2,630.27	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $3,235.94	Professional		$2,041.74	$2,511.89	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $4,265.80	Professional		$1,621.81	$2,398.83	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $6,025.60	Professional		$1,905.46	$2,344.23	$6,025.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $4,677.35	Professional		$1,819.70	$2,290.87	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,168.69	Facility		$2,041.74	$2,630.27	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $7,413.10	Facility		$1,513.56	$2,511.89	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $7,413.10	Professional		$1,513.56	$2,511.89	$7,413.10
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 $1,584.89 / $2,187.76 / $4,073.80	Professional		$1,584.89	$2,187.76	$4,073.80