Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $9,549.93	Facility		$1,737.80	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,570.40	Professional		$1,513.56	$1,737.80	$2,570.40
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 $1,621.81 / $2,137.96 / $3,019.95	Professional		$1,621.81	$2,137.96	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,630.27	Professional		$1,659.59	$2,089.30	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,715.35	Professional		$1,380.38	$2,041.74	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $5,011.87	Professional		$1,513.56	$1,905.46	$5,011.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,801.89	Professional		$1,995.26	$2,570.40	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,388.44	Facility		$1,621.81	$2,238.72	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $7,079.46	Facility		$1,380.38	$2,187.76	$7,079.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $7,079.46	Professional		$1,380.38	$2,187.76	$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 $1,348.96 / $1,949.84 / $3,388.44	Professional		$1,348.96	$1,949.84	$3,388.44