Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,188.91 / $5,412.00 / $11,024.00	Facility		$3,188.91	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,489.15 / $3,188.91 / $3,739.00	Professional		$2,489.15	$3,188.91	$3,739.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,581.23 / $3,300.81 / $5,457.22	Professional		$2,581.23	$3,300.81	$5,457.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,935.78 / $3,270.80 / $7,889.00	Professional		$2,935.78	$3,270.80	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,184.07	Facility		$640.00	$640.00	$3,184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,674.40 / $3,724.29 / $6,159.27	Professional		$2,674.40	$3,724.29	$6,159.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,652.82 / $3,395.61 / $3,939.17	Professional		$2,652.82	$3,395.61	$3,939.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,885.38 / $3,761.89 / $5,835.71	Facility		$2,885.38	$3,761.89	$5,835.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,410.00 / $4,037.00 / $5,226.00	Professional		$3,410.00	$4,037.00	$5,226.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,682.27 / $3,587.23 / $6,846.65	Facility		$2,682.27	$3,587.23	$6,846.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,682.27 / $3,587.23 / $6,846.65	Professional		$2,682.27	$3,587.23	$6,846.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,074.00 / $21,639.00	Facility		$6,423.00	$11,074.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,204.35 / $3,380.00 / $5,304.04	Professional		$2,204.35	$3,380.00	$5,304.04