Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $9,549.93	Facility		$1,659.59	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,454.71	Professional		$1,412.54	$1,659.59	$2,454.71
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 $1,548.82 / $2,089.30 / $2,951.21	Professional		$1,548.82	$2,089.30	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,570.40	Professional		$1,621.81	$1,995.26	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,630.78	Professional		$1,380.38	$1,949.84	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,786.30	Professional		$1,479.11	$1,819.70	$4,786.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,715.35	Professional		$1,819.70	$2,290.87	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $3,235.94	Facility		$1,548.82	$2,137.96	$3,235.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $6,918.31	Facility		$1,380.38	$2,089.30	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $6,918.31	Professional		$1,380.38	$2,089.30	$6,918.31
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 $1,230.27 / $1,819.70 / $3,235.94	Professional		$1,230.27	$1,819.70	$3,235.94