Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $9,549.93	Facility		$2,238.72	$3,715.35	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,311.31	Professional		$1,949.84	$2,238.72	$3,311.31
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 $2,089.30 / $2,818.38 / $3,981.07	Professional		$2,089.30	$2,818.38	$3,981.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,467.37	Professional		$2,137.96	$2,691.53	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,897.79	Professional		$1,905.46	$2,630.27	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $6,309.57	Professional		$1,949.84	$2,454.71	$6,309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $5,011.87	Professional		$2,691.53	$3,467.37	$5,011.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $4,466.84	Facility		$2,089.30	$2,951.21	$4,466.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $8,128.31	Facility		$1,862.09	$2,754.23	$8,128.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $8,128.31	Professional		$1,862.09	$2,754.23	$8,128.31
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 $1,737.80 / $2,570.40 / $4,365.16	Professional		$1,737.80	$2,570.40	$4,365.16