Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $9,549.93	Facility		$2,089.30	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,090.30	Professional		$1,819.70	$2,089.30	$3,090.30
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 $1,949.84 / $2,570.40 / $3,630.78	Professional		$1,949.84	$2,570.40	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,162.28	Professional		$1,995.26	$2,511.89	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,466.84	Professional		$1,737.80	$2,454.71	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $5,888.44	Professional		$1,819.70	$2,290.87	$5,888.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $4,570.88	Professional		$2,511.89	$3,235.94	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $4,073.80	Facility		$1,949.84	$2,754.23	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $7,413.10	Facility		$1,737.80	$2,570.40	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $7,413.10	Professional		$1,737.80	$2,570.40	$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 $1,621.81 / $2,398.83 / $4,073.80	Professional		$1,621.81	$2,398.83	$4,073.80