Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $9,549.93	Facility		$1,819.70	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,570.40	Professional		$1,479.11	$1,819.70	$2,570.40
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 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$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 $1,513.56 / $2,041.74 / $3,235.94	Professional		$1,513.56	$2,041.74	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $4,265.80	Professional		$1,380.38	$1,698.24	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,715.35	Professional		$2,089.30	$2,630.27	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,388.44	Facility		$1,621.81	$2,290.87	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $7,079.46	Facility		$1,479.11	$2,137.96	$7,079.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $7,079.46	Professional		$1,479.11	$2,137.96	$7,079.46
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 $1,318.26 / $2,041.74 / $3,311.31	Professional		$1,318.26	$2,041.74	$3,311.31