Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $9,549.93	Facility		$1,778.28	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $3,162.28	Professional		$1,548.82	$1,778.28	$3,162.28
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 $1,659.59 / $2,187.76 / $3,162.28	Professional		$1,659.59	$2,187.76	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,754.23	Professional		$1,698.24	$2,137.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,890.45	Professional		$1,513.56	$2,041.74	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $5,128.61	Professional		$1,584.89	$1,949.84	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,981.07	Professional		$1,995.26	$2,570.40	$3,981.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,467.37	Facility		$1,659.59	$2,290.87	$3,467.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $7,413.10	Facility		$1,513.56	$2,187.76	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $7,413.10	Professional		$1,513.56	$2,187.76	$7,413.10
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 / $3,467.37	Professional		$1,348.96	$1,949.84	$3,467.37