Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $9,549.93	Facility		$2,238.72	$3,801.89	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,388.44	Professional		$1,949.84	$2,238.72	$3,388.44
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 $2,137.96 / $2,818.38 / $3,981.07	Professional		$2,137.96	$2,818.38	$3,981.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $3,467.37	Professional		$2,187.76	$2,691.53	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,370.32	Professional		$1,995.26	$2,754.23	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $6,456.54	Professional		$1,995.26	$2,454.71	$6,456.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $5,011.87	Professional		$2,884.03	$3,715.35	$5,011.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $4,466.84	Facility		$2,137.96	$3,019.95	$4,466.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $9,332.54	Facility		$1,949.84	$2,754.23	$9,332.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $9,332.54	Professional		$1,949.84	$2,754.23	$9,332.54
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 $1,778.28 / $2,754.23 / $4,466.84	Professional		$1,778.28	$2,754.23	$4,466.84