Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,309.57 / $11,748.98	Facility		$2,290.87	$6,309.57	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,884.03	Professional		$1,995.26	$2,344.23	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,054.61	Facility		$12,022.64	$15,848.93	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,570.40	Professional		$1,513.56	$1,513.56	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,754.23	Professional		$2,344.23	$2,454.71	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,888.44 / $15,488.17	Facility		$3,090.30	$5,888.44	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,466.84	Professional		$3,715.35	$3,715.35	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $4,265.80	Professional		$3,019.95	$3,311.31	$4,265.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,677.35	Facility		$2,290.87	$2,951.21	$4,677.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $6,309.57	Professional		$1,949.84	$1,949.84	$6,309.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $6,165.95	Facility		$2,137.96	$3,467.37	$6,165.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $6,165.95	Professional		$2,137.96	$3,467.37	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $3,630.78	Facility		$1,819.70	$3,019.95	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $3,467.37	Professional		$1,258.93	$1,513.56	$3,467.37