Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $9,549.93	Facility		$2,754.23	$4,677.35	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $4,570.88	Professional		$2,511.89	$3,019.95	$4,570.88
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 $2,951.21 / $3,890.45 / $5,623.41	Professional		$2,951.21	$3,890.45	$5,623.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $4,786.30	Professional		$3,019.95	$3,801.89	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $6,025.60	Professional		$2,570.40	$3,467.37	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $7,585.78	Professional		$2,344.23	$2,951.21	$7,585.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $7,079.46	Professional		$3,467.37	$4,365.16	$7,079.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $5,495.41	Facility		$2,754.23	$3,801.89	$5,495.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $10,000.00	Facility		$2,187.76	$3,548.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $10,000.00	Professional		$2,187.76	$3,548.13	$10,000.00
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 $2,187.76 / $3,388.44 / $5,495.41	Professional		$2,187.76	$3,388.44	$5,495.41