Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $9,549.93	Facility		$1,698.24	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,691.53	Professional		$1,445.44	$1,737.80	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,595.87 / $22,908.68	Facility		$8,709.64	$16,595.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,884.03	Professional		$1,513.56	$1,995.26	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,570.40	Professional		$1,621.81	$2,041.74	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,235.94	Professional		$1,380.38	$1,862.09	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $4,466.84	Professional		$1,412.54	$1,737.80	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,630.78	Professional		$1,862.09	$2,290.87	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,162.28	Facility		$1,621.81	$2,137.96	$3,162.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $6,918.31	Facility		$1,380.38	$1,995.26	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $6,918.31	Professional		$1,380.38	$1,995.26	$6,918.31
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 $1,230.27 / $1,862.09 / $3,235.94	Professional		$1,230.27	$1,862.09	$3,235.94