Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $9,549.93	Facility		$2,398.83	$3,981.07	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,548.13	Professional		$2,089.30	$2,398.83	$3,548.13
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 $2,238.72 / $3,019.95 / $4,265.80	Professional		$2,238.72	$3,019.95	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $4,073.80	Professional		$2,511.89	$3,162.28	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $5,248.07	Professional		$2,041.74	$2,884.03	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $6,760.83	Professional		$2,089.30	$2,630.27	$6,760.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $5,370.32	Professional		$2,951.21	$3,801.89	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $4,786.30	Facility		$2,238.72	$3,162.28	$4,786.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $8,709.64	Facility		$1,995.26	$2,951.21	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $8,709.64	Professional		$1,995.26	$2,951.21	$8,709.64
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 $1,862.09 / $2,818.38 / $4,677.35	Professional		$1,862.09	$2,818.38	$4,677.35