Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,285.35 / $5,412.00 / $13,209.00	Facility		$2,285.35	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,787.11 / $2,141.88 / $2,757.15	Professional		$1,787.11	$2,141.88	$2,757.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,700.57 / $57,418.74 / $75,212.97	Facility		$38,700.57	$57,418.74	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,863.39 / $2,435.81 / $4,027.12	Professional		$1,863.39	$2,435.81	$4,027.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,941.06 / $1,941.06 / $19,314.00	Professional		$1,941.06	$1,941.06	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,326.28	Facility		$640.00	$640.00	$2,326.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.71 / $2,302.58 / $4,409.02	Professional		$1,727.71	$2,302.58	$4,409.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,929.45 / $2,496.92 / $2,950.92	Professional		$1,929.45	$2,496.92	$2,950.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,973.87 / $2,519.81 / $3,919.64	Facility		$1,973.87	$2,519.81	$3,919.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,130.86 / $2,712.00 / $4,458.00	Professional		$2,130.86	$2,712.00	$4,458.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,703.62 / $2,398.19 / $7,476.77	Facility		$1,703.62	$2,398.19	$7,476.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,703.62 / $2,398.19 / $7,476.77	Professional		$1,703.62	$2,398.19	$7,476.77
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 $1,435.09 / $2,274.82 / $3,817.56	Professional		$1,435.09	$2,274.82	$3,817.56