Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $9,549.93	Facility		$1,905.46	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,235.94	Professional		$1,698.24	$2,041.74	$3,235.94
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 $1,698.24 / $2,290.87 / $3,235.94	Professional		$1,698.24	$2,290.87	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,951.21	Professional		$1,819.70	$2,290.87	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,630.78	Professional		$1,737.80	$2,290.87	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $4,786.30	Professional		$1,548.82	$1,905.46	$4,786.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,168.69	Professional		$2,290.87	$2,884.03	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,801.89	Facility		$1,778.28	$2,511.89	$3,801.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $7,413.10	Facility		$1,621.81	$2,398.83	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $7,413.10	Professional		$1,621.81	$2,398.83	$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 $1,513.56 / $2,238.72 / $3,801.89	Professional		$1,513.56	$2,238.72	$3,801.89