Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,630.78 / $9,549.93	Facility		$1,949.84	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,981.07	Professional		$1,621.81	$1,949.84	$3,981.07
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 $1,862.09 / $2,691.53 / $4,677.35	Professional		$1,862.09	$2,691.53	$4,677.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,884.03	Professional		$1,862.09	$2,089.30	$2,884.03
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 $1,737.80 / $2,238.72 / $3,981.07	Professional		$1,737.80	$2,238.72	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,630.27	Professional		$1,698.24	$2,187.76	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,365.16	Professional		$2,344.23	$2,951.21	$4,365.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,630.78	Facility		$1,778.28	$2,398.83	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $5,248.07	Facility		$1,621.81	$2,238.72	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $5,248.07	Professional		$1,621.81	$2,238.72	$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 $1,348.96 / $2,137.96 / $3,715.35	Professional		$1,348.96	$2,137.96	$3,715.35