Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.60 / $4,172.47 / $5,441.55	Facility		$1,868.60	$4,172.47	$5,441.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.76 / $1,868.60 / $1,868.60	Professional		$1,648.76	$1,868.60	$1,868.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,349.33 / $10,705.96 / $13,519.85	Facility		$8,349.33	$10,705.96	$13,519.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $859.40	Professional		$514.79	$514.79	$859.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,758.68 / $2,022.48 / $3,943.84	Professional		$1,758.68	$2,022.48	$3,943.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,428.93 / $4,846.03 / $11,262.34	Facility		$1,428.93	$4,846.03	$11,262.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.46 / $2,677.46 / $3,207.90	Professional		$2,677.46	$2,677.46	$3,207.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,638.02 / $3,253.56	Professional		$2,198.35	$2,638.02	$3,253.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,747.69 / $2,198.35 / $3,737.20	Facility		$1,747.69	$2,198.35	$3,737.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,012.00 / $3,847.11 / $5,276.04	Professional		$3,012.00	$3,847.11	$5,276.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,538.85 / $2,499.52 / $4,081.46	Facility		$1,538.85	$2,499.52	$4,081.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,538.85 / $2,499.52 / $4,081.46	Professional		$1,538.85	$2,499.52	$4,081.46
United Facility/Professional Facility Modifier Low / Median / High Price $923.31 / $923.31 / $923.31	Facility		$923.31	$923.31	$923.31
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $1,143.14 / $2,528.10	Professional		$923.31	$1,143.14	$2,528.10