Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,495.41 / $10,000.00	Facility		$3,235.94	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $6,025.60	Professional		$2,754.23	$3,388.44	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $8,128.31	Professional		$3,162.28	$4,677.35	$8,128.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $3,388.44 / $4,897.79	Professional		$794.33	$3,388.44	$4,897.79
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 $2,951.21 / $3,715.35 / $6,918.31	Professional		$2,951.21	$3,715.35	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $4,265.80	Professional		$2,818.38	$3,630.78	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $7,585.78	Professional		$3,630.78	$4,466.84	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $6,165.95	Facility		$2,884.03	$3,981.07	$6,165.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $10,715.19	Facility		$2,691.53	$3,715.35	$10,715.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $10,715.19	Professional		$2,691.53	$3,715.35	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $6,309.57	Professional		$2,290.87	$3,548.13	$6,309.57