Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,466.84 / $9,549.93	Facility		$2,691.53	$4,466.84	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $5,495.41	Professional		$2,290.87	$2,754.23	$5,495.41
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 $2,570.40 / $3,801.89 / $6,456.54	Professional		$2,570.40	$3,801.89	$6,456.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $4,073.80	Professional		$2,630.27	$2,884.03	$4,073.80
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 $2,454.71 / $3,162.28 / $5,495.41	Professional		$2,454.71	$3,162.28	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,630.78	Professional		$2,344.23	$3,019.95	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $6,025.60	Professional		$3,467.37	$4,365.16	$6,025.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,248.07	Facility		$2,454.71	$3,388.44	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,456.54	Facility		$2,187.76	$3,162.28	$6,456.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,456.54	Professional		$2,187.76	$3,162.28	$6,456.54
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 $1,905.46 / $2,951.21 / $5,128.61	Professional		$1,905.46	$2,951.21	$5,128.61