Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,111.46 / $5,048.00 / $9,539.00	Facility		$3,111.46	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,366.73 / $2,825.13 / $3,644.41	Professional		$2,366.73	$2,825.13	$3,644.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,976.00 / $54,001.38 / $75,212.97	Facility		$13,976.00	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,496.71 / $3,230.46 / $5,340.91	Professional		$2,496.71	$3,230.46	$5,340.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,217.24 / $3,217.24 / $19,314.00	Professional		$3,217.24	$3,217.24	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,101.70	Facility		$640.00	$640.00	$3,101.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,494.65 / $3,280.84 / $6,037.27	Professional		$2,494.65	$3,280.84	$6,037.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,594.92 / $3,321.51 / $3,898.06	Professional		$2,594.92	$3,321.51	$3,898.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,667.51 / $3,488.83 / $5,172.24	Facility		$2,667.51	$3,488.83	$5,172.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,159.00 / $3,700.00 / $5,123.00	Professional		$3,159.00	$3,700.00	$5,123.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,430.76 / $3,281.80 / $9,929.00	Facility		$2,430.76	$3,281.80	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,430.76 / $3,281.80 / $9,929.00	Professional		$2,430.76	$3,281.80	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,038.85 / $3,257.48 / $5,419.17	Professional		$2,038.85	$3,257.48	$5,419.17