Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $9,549.93	Facility		$2,511.89	$4,168.69	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,890.45	Professional		$2,089.30	$2,511.89	$3,890.45
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 $2,344.23 / $3,090.30 / $4,365.16	Professional		$2,344.23	$3,090.30	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,890.45	Professional		$2,398.83	$3,019.95	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $5,370.32	Professional		$1,995.26	$2,884.03	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $7,079.46	Professional		$2,187.76	$2,754.23	$7,079.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $5,495.41	Professional		$3,162.28	$4,073.80	$5,495.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $4,897.79	Facility		$2,290.87	$3,235.94	$4,897.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $8,912.51	Facility		$1,995.26	$2,884.03	$8,912.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $8,912.51	Professional		$1,995.26	$2,884.03	$8,912.51
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 $1,949.84 / $2,884.03 / $4,897.79	Professional		$1,949.84	$2,884.03	$4,897.79