Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $9,549.93	Facility		$2,137.96	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $4,168.69	Professional		$1,819.70	$2,187.76	$4,168.69
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 $2,041.74 / $3,019.95 / $5,248.07	Professional		$2,041.74	$3,019.95	$5,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $3,235.94	Professional		$2,089.30	$2,290.87	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,365.16	Professional		$1,949.84	$2,511.89	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,884.03	Professional		$1,905.46	$2,398.83	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $4,786.30	Professional		$2,630.27	$3,311.31	$4,786.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,168.69	Facility		$1,949.84	$2,691.53	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $5,248.07	Facility		$1,819.70	$2,511.89	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $5,248.07	Professional		$1,819.70	$2,511.89	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,079.46	Facility		$1,584.89	$3,388.44	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $4,073.80	Professional		$1,513.56	$2,344.23	$4,073.80