Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,375.01 / $7,225.01 / $18,857.30	Facility		$6,375.01	$7,225.01	$18,857.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,375.01 / $6,970.01 / $7,225.01	Professional		$6,375.01	$6,970.01	$7,225.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32,283.00 / $41,395.00 / $52,275.00	Facility		$32,283.00	$41,395.00	$52,275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $2,628.99	Professional		$1,549.20	$1,549.20	$2,628.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,800.00 / $6,800.00 / $13,260.00	Professional		$6,800.00	$6,800.00	$13,260.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,525.00 / $14,199.25 / $43,544.74	Facility		$5,525.00	$14,199.25	$43,544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,353.50 / $10,353.50 / $12,404.66	Professional		$10,353.50	$10,353.50	$12,404.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $10,200.00 / $12,580.00	Professional		$8,500.00	$10,200.00	$12,580.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,375.01 / $8,500.00 / $14,450.02	Facility		$6,375.01	$8,500.00	$14,450.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,525.00 / $5,525.00 / $5,525.00	Professional		$5,525.00	$5,525.00	$5,525.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,950.00 / $9,433.29 / $15,781.10	Facility		$5,950.00	$9,433.29	$15,781.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,950.00 / $9,775.00 / $15,725.00	Professional		$5,950.00	$9,775.00	$15,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $4,420.00 / $9,775.00	Professional		$3,570.00	$4,420.00	$9,775.00