Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $9,549.93	Facility		$1,778.28	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,570.40	Professional		$1,412.54	$1,778.28	$2,570.40
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 $1,659.59 / $2,187.76 / $3,090.30	Professional		$1,659.59	$2,187.76	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,754.23	Professional		$1,698.24	$2,137.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,801.89	Professional		$1,380.38	$1,905.46	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $5,128.61	Professional		$1,584.89	$1,995.26	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,890.45	Professional		$2,041.74	$2,630.27	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,388.44	Facility		$1,621.81	$2,187.76	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $7,244.36	Facility		$1,348.96	$1,995.26	$7,244.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $7,244.36	Professional		$1,348.96	$1,995.26	$7,244.36
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 $1,288.25 / $1,905.46 / $3,388.44	Professional		$1,288.25	$1,905.46	$3,388.44