Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $11,481.54	Facility		$1,737.80	$5,888.44	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $3,019.95	Professional		$1,380.38	$1,584.89	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $30,199.52 / $30,199.52	Facility		$26,915.35	$30,199.52	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,801.89	Professional		$1,479.11	$2,187.76	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $14,454.40	Professional		$1,513.56	$2,344.23	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,311.31	Professional		$1,513.56	$2,041.74	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,949.84	Professional		$1,318.26	$1,659.59	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,951.21	Facility		$1,412.54	$1,949.84	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $10,964.78	Facility		$1,479.11	$2,089.30	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $10,964.78	Professional		$1,479.11	$2,089.30	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $18,197.01 / $40,738.03	Facility		$10,471.29	$18,197.01	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,162.28	Professional		$1,202.26	$1,905.46	$3,162.28