Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,585.78 / $14,125.38	Facility		$2,691.53	$7,585.78	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,168.69	Professional		$2,398.83	$2,818.38	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $14,454.40	Facility		$3,630.78	$3,630.78	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,454.71	Professional		$1,445.44	$1,445.44	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $3,235.94	Professional		$2,754.23	$2,951.21	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,912.51 / $18,620.87	Facility		$3,630.78	$8,912.51	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $5,248.07	Professional		$2,818.38	$4,365.16	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $5,011.87	Professional		$3,630.78	$3,981.07	$5,011.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $6,025.60	Facility		$2,884.03	$4,073.80	$6,025.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $7,585.78	Professional		$2,344.23	$2,344.23	$7,585.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $9,120.11	Facility		$2,511.89	$4,168.69	$9,120.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $9,549.93	Professional		$2,511.89	$4,168.69	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $4,365.16	Facility		$2,137.96	$3,630.78	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $4,168.69	Professional		$1,513.56	$1,819.70	$4,168.69