Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,630.78 / $9,549.93	Facility		$1,318.26	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,949.84	Professional		$1,122.02	$1,318.26	$1,949.84
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 $1,230.27 / $1,659.59 / $2,344.23	Professional		$1,230.27	$1,659.59	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,137.96	Professional		$1,348.96	$1,698.24	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,884.03	Professional		$1,122.02	$1,548.82	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,890.45	Professional		$1,174.90	$1,479.11	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,951.21	Professional		$1,445.44	$1,905.46	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,630.27	Facility		$1,258.93	$1,698.24	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $5,495.41	Facility		$1,122.02	$1,659.59	$5,495.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $5,495.41	Professional		$1,122.02	$1,659.59	$5,495.41
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 $1,023.29 / $1,479.11 / $2,570.40	Professional		$1,023.29	$1,479.11	$2,570.40