Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.04 / $5,412.00 / $11,425.00	Facility		$2,365.04	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.89 / $2,171.64 / $2,909.00	Professional		$1,908.89	$2,171.64	$2,909.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,894.71 / $2,451.53 / $4,053.11	Professional		$1,894.71	$2,451.53	$4,053.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,399.50 / $2,438.90 / $9,951.00	Professional		$2,399.50	$2,438.90	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,355.71	Facility		$640.00	$640.00	$2,355.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,019.19 / $2,809.58 / $4,595.68	Professional		$2,019.19	$2,809.58	$4,595.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,969.94 / $2,521.52 / $2,957.86	Professional		$1,969.94	$2,521.52	$2,957.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,033.37 / $2,757.46 / $3,921.38	Facility		$2,033.37	$2,757.46	$3,921.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,607.00 / $3,018.00 / $4,057.00	Professional		$2,607.00	$3,018.00	$4,057.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,978.65 / $2,766.99 / $7,854.67	Facility		$1,978.65	$2,766.99	$7,854.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,978.65 / $2,766.99 / $7,854.67	Professional		$1,978.65	$2,766.99	$7,854.67
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,724.46 / $2,586.67 / $4,000.36	Professional		$1,724.46	$2,586.67	$4,000.36