Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,630.78 / $9,549.93	Facility		$1,949.84	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,884.03	Professional		$1,659.59	$1,949.84	$2,884.03
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 $1,819.70 / $2,454.71 / $3,467.37	Professional		$1,819.70	$2,454.71	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,019.95	Professional		$1,862.09	$2,344.23	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $4,265.80	Professional		$1,659.59	$2,290.87	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $5,623.41	Professional		$1,698.24	$2,137.96	$5,623.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,365.16	Professional		$2,290.87	$2,951.21	$4,365.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,890.45	Facility		$1,819.70	$2,511.89	$3,890.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $7,413.10	Facility		$1,621.81	$2,398.83	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $7,413.10	Professional		$1,621.81	$2,398.83	$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 $1,513.56 / $2,187.76 / $3,801.89	Professional		$1,513.56	$2,187.76	$3,801.89