Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $9,549.93	Facility		$1,548.82	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,754.23	Professional		$1,548.82	$1,862.09	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,877.62	Facility		$8,709.64	$16,218.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,311.31	Professional		$1,737.80	$2,344.23	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,019.95	Professional		$1,862.09	$2,344.23	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,801.89	Professional		$1,621.81	$2,187.76	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $4,897.79	Professional		$1,548.82	$1,905.46	$4,897.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,265.80	Professional		$2,290.87	$2,884.03	$4,265.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $3,467.37	Facility		$1,584.89	$2,344.23	$3,467.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $7,413.10	Facility		$1,513.56	$2,290.87	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $7,413.10	Professional		$1,513.56	$2,290.87	$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 $1,412.54 / $2,238.72 / $3,548.13	Professional		$1,412.54	$2,238.72	$3,548.13