Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.90 / $6,124.01 / $13,716.82	Facility		$2,091.90	$6,124.01	$13,716.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.01 / $1,956.61 / $2,763.31	Professional		$1,656.01	$1,956.61	$2,763.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39,034.68 / $59,532.68 / $105,931.00	Facility		$39,034.68	$59,532.68	$105,931.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.89 / $2,172.50 / $3,591.79	Professional		$1,698.89	$2,172.50	$3,591.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,270.39 / $2,270.39 / $15,704.00	Professional		$2,270.39	$2,270.39	$15,704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,083.80	Facility		$640.00	$640.00	$2,083.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.42 / $2,337.05 / $4,021.59	Professional		$1,755.42	$2,337.05	$4,021.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.61 / $2,202.08 / $2,602.46	Professional		$1,712.61	$2,202.08	$2,602.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,891.71 / $2,411.38 / $3,507.46	Facility		$1,891.71	$2,411.38	$3,507.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,313.00 / $2,626.00 / $3,513.00	Professional		$2,313.00	$2,626.00	$3,513.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,734.53 / $2,342.48 / $7,420.00	Facility		$1,734.53	$2,342.48	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,734.53 / $2,342.48 / $7,420.00	Professional		$1,734.53	$2,342.48	$7,420.00
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 $1,414.73 / $2,317.46 / $3,572.66	Professional		$1,414.73	$2,317.46	$3,572.66