Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,973.68 / $5,412.00 / $11,024.00	Facility		$2,973.68	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,413.21 / $2,756.18 / $3,507.24	Professional		$2,413.21	$2,756.18	$3,507.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,428.79 / $3,105.88 / $5,134.95	Professional		$2,428.79	$3,105.88	$5,134.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,024.58 / $3,091.15 / $8,530.00	Professional		$3,024.58	$3,091.15	$8,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,983.13	Facility		$640.00	$640.00	$2,983.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,576.13 / $3,445.53 / $5,807.96	Professional		$2,576.13	$3,445.53	$5,807.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,494.94 / $3,193.54 / $3,747.12	Professional		$2,494.94	$3,193.54	$3,747.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,494.94 / $3,464.66 / $5,055.26	Facility		$2,494.94	$3,464.66	$5,055.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,318.00 / $3,727.00 / $5,117.00	Professional		$3,318.00	$3,727.00	$5,117.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,520.98 / $3,384.72 / $7,902.00	Facility		$2,520.98	$3,384.72	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,520.98 / $3,384.72 / $7,902.00	Professional		$2,520.98	$3,384.72	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,179.34 / $3,453.94 / $5,364.49	Professional		$2,179.34	$3,453.94	$5,364.49