Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,466.84 / $9,549.93	Facility		$2,691.53	$4,466.84	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $3,890.45	Professional		$2,187.76	$2,691.53	$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 $2,454.71 / $3,235.94 / $4,677.35	Professional		$2,454.71	$3,235.94	$4,677.35
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 / $2,951.21 / $5,623.41	Professional		$2,041.74	$2,951.21	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $8,128.31	Professional		$2,511.89	$3,162.28	$8,128.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $5,888.44	Professional		$2,630.27	$3,311.31	$5,888.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $5,011.87	Facility		$2,511.89	$3,235.94	$5,011.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $9,120.11	Facility		$1,862.09	$3,090.30	$9,120.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $9,120.11	Professional		$1,862.09	$3,090.30	$9,120.11
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 $1,905.46 / $2,818.38 / $5,011.87	Professional		$1,905.46	$2,818.38	$5,011.87