Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $9,549.93	Facility		$2,041.74	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,019.95	Professional		$1,778.28	$2,041.74	$3,019.95
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 $1,905.46 / $2,570.40 / $3,630.78	Professional		$1,905.46	$2,570.40	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,162.28	Professional		$1,949.84	$2,454.71	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $4,466.84	Professional		$1,659.59	$2,344.23	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $5,754.40	Professional		$1,778.28	$2,238.72	$5,754.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,570.88	Professional		$2,398.83	$3,019.95	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,073.80	Facility		$1,905.46	$2,630.27	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $7,413.10	Facility		$1,659.59	$2,398.83	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $7,413.10	Professional		$1,659.59	$2,398.83	$7,413.10
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 $1,584.89 / $2,344.23 / $3,981.07	Professional		$1,584.89	$2,344.23	$3,981.07