Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,809.98 / $5,412.00 / $11,024.00	Facility		$2,809.98	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,167.13 / $2,550.33 / $3,285.82	Professional		$2,167.13	$2,550.33	$3,285.82
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 $2,271.44 / $2,904.66 / $4,802.27	Professional		$2,271.44	$2,904.66	$4,802.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,713.61 / $2,891.05 / $7,889.00	Professional		$2,713.61	$2,891.05	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,789.24	Facility		$640.00	$640.00	$2,789.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,334.39 / $3,147.49 / $5,495.14	Professional		$2,334.39	$3,147.49	$5,495.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,340.57 / $2,995.93 / $3,506.39	Professional		$2,340.57	$2,995.93	$3,506.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,550.33 / $3,288.98 / $4,827.53	Facility		$2,550.33	$3,288.98	$4,827.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,093.42 / $3,576.00 / $4,663.00	Professional		$3,093.42	$3,576.00	$4,663.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,340.57 / $3,107.88 / $6,585.00	Facility		$2,340.57	$3,107.88	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,340.57 / $3,107.88 / $6,585.00	Professional		$2,340.57	$3,107.88	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,931.01 / $3,034.45 / $4,894.10	Professional		$1,931.01	$3,034.45	$4,894.10