Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,051.57 / $5,412.00 / $11,024.00	Facility		$3,051.57	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.19 / $2,722.64 / $3,071.17	Professional		$2,337.19	$2,722.64	$3,071.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,423.48 / $3,145.16 / $4,344.87	Professional		$2,423.48	$3,145.16	$4,344.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $2,645.42 / $3,042.23	Professional		$794.00	$2,645.42	$3,042.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,036.35 / $3,036.35 / $3,036.35	Facility		$3,036.35	$3,036.35	$3,036.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,535.81 / $3,065.45 / $5,342.91	Professional		$2,535.81	$3,065.45	$5,342.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,801.19 / $3,096.05 / $3,685.78	Professional		$2,801.19	$3,096.05	$3,685.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,461.05 / $3,051.57 / $4,271.14	Facility		$2,461.05	$3,051.57	$4,271.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,045.00 / $3,705.00 / $6,256.63	Professional		$3,045.00	$3,705.00	$6,256.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,233.44 / $3,218.11 / $6,502.83	Facility		$2,233.44	$3,218.11	$6,502.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,233.44 / $3,218.11 / $6,502.83	Professional		$2,233.44	$3,218.11	$6,502.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,827.00 / $5,764.00	Facility		$1,713.00	$2,827.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,075.15 / $2,856.36 / $4,952.49	Professional		$2,075.15	$2,856.36	$4,952.49