Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $9,549.93	Facility		$1,584.89	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,344.23	Professional		$1,380.38	$1,584.89	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $23,442.29 / $31,622.78	Facility		$13,803.84	$23,442.29	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,818.38	Professional		$1,479.11	$1,995.26	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,454.71	Professional		$1,548.82	$1,905.46	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,467.37	Professional		$1,348.96	$1,905.46	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,570.88	Professional		$1,412.54	$1,778.28	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,548.13	Professional		$1,862.09	$2,454.71	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,162.28	Facility		$1,479.11	$2,041.74	$3,162.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $6,606.93	Facility		$1,348.96	$1,995.26	$6,606.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $6,606.93	Professional		$1,348.96	$1,995.26	$6,606.93
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 $1,258.93 / $1,819.70 / $3,090.30	Professional		$1,258.93	$1,819.70	$3,090.30