Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,794.04 / $5,781.30 / $13,209.00	Facility		$2,794.04	$5,781.30	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,419.89 / $2,794.04 / $3,295.06	Professional		$2,419.89	$2,794.04	$3,295.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,976.00 / $54,001.38 / $75,212.97	Facility		$13,976.00	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,278.51 / $2,913.70 / $4,817.22	Professional		$2,278.51	$2,913.70	$4,817.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,896.23 / $3,160.16 / $19,314.00	Professional		$2,896.23	$3,160.16	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,802.44	Facility		$640.00	$640.00	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,432.79 / $3,286.59 / $5,470.53	Professional		$2,432.79	$3,286.59	$5,470.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,340.04 / $2,995.25 / $3,511.11	Professional		$2,340.04	$2,995.25	$3,511.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,419.23 / $3,312.88 / $4,749.87	Facility		$2,419.23	$3,312.88	$4,749.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,276.00 / $3,593.00 / $5,215.00	Professional		$3,276.00	$3,593.00	$5,215.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,432.21 / $3,300.19 / $9,349.29	Facility		$2,432.21	$3,300.19	$9,349.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,432.21 / $3,300.19 / $9,349.29	Professional		$2,432.21	$3,300.19	$9,349.29
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 $1,959.80 / $3,056.78 / $4,757.97	Professional		$1,959.80	$3,056.78	$4,757.97