Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $7,943.28	Facility		$2,398.83	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,951.21	Professional		$2,137.96	$2,511.89	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $16,595.87 / $19,952.62	Facility		$12,882.50	$16,595.87	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,041.74	Professional		$1,148.15	$1,148.15	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $2,884.03	Professional		$2,454.71	$2,630.27	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,943.28 / $16,218.10	Facility		$3,235.94	$7,943.28	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,677.35	Professional		$3,890.45	$3,890.45	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $4,466.84	Professional		$3,235.94	$3,548.13	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $5,011.87	Facility		$2,398.83	$3,090.30	$5,011.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $6,606.93	Facility		$2,398.83	$3,715.35	$6,606.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $6,606.93	Professional		$2,398.83	$3,715.35	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $3,801.89	Facility		$1,905.46	$3,235.94	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $3,715.35	Professional		$1,348.96	$1,584.89	$3,715.35