Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,248.07 / $14,791.08	Facility		$3,235.94	$5,248.07	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $8,317.64	Professional		$3,890.45	$4,677.35	$8,317.64
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 $4,365.16 / $5,754.40 / $8,128.31	Professional		$4,365.16	$5,754.40	$8,128.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $7,079.46	Professional		$4,466.84	$5,623.41	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $10,471.29	Professional		$4,168.69	$5,623.41	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $12,882.50	Professional		$3,981.07	$4,897.79	$12,882.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,762.47 / $10,471.29	Professional		$6,025.60	$7,762.47	$10,471.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,309.57 / $9,549.93	Facility		$4,466.84	$6,309.57	$9,549.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $10,471.29	Facility		$3,162.28	$5,623.41	$10,471.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $10,471.29	Professional		$3,162.28	$5,623.41	$10,471.29
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 $3,630.78 / $5,754.40 / $9,549.93	Professional		$3,630.78	$5,754.40	$9,549.93