Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $9,549.93	Facility		$2,754.23	$4,570.88	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $4,073.80	Professional		$2,398.83	$2,754.23	$4,073.80
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 $2,570.40 / $3,388.44 / $4,897.79	Professional		$2,570.40	$3,388.44	$4,897.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $4,265.80	Professional		$2,630.27	$3,311.31	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $6,025.60	Professional		$2,137.96	$3,162.28	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $7,762.47	Professional		$2,398.83	$2,951.21	$7,762.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $6,165.95	Professional		$2,570.40	$3,311.31	$6,165.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $5,370.32	Facility		$2,570.40	$3,548.13	$5,370.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $10,000.00	Facility		$1,949.84	$3,388.44	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $10,000.00	Professional		$1,949.84	$3,388.44	$10,000.00
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 $2,089.30 / $2,951.21 / $5,370.32	Professional		$2,089.30	$2,951.21	$5,370.32