Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.09 / $5,412.00 / $11,425.00	Facility		$1,772.09	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.54 / $1,772.09 / $2,068.81	Professional		$1,563.54	$1,772.09	$2,068.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,553.53 / $1,986.62 / $2,724.64	Professional		$1,553.53	$1,986.62	$2,724.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,899.57 / $2,538.96 / $9,211.00	Professional		$1,899.57	$2,538.96	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.05 / $2,222.37 / $4,119.56	Professional		$1,635.05	$2,222.37	$4,119.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,595.17 / $1,914.20 / $2,308.35	Professional		$1,595.17	$1,914.20	$2,308.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,772.09 / $2,174.84 / $3,068.33	Facility		$1,772.09	$2,174.84	$3,068.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,952.00 / $2,190.00 / $3,946.73	Professional		$1,952.00	$2,190.00	$3,946.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,688.67 / $2,165.98 / $7,420.00	Facility		$1,688.67	$2,165.98	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,688.67 / $2,165.98 / $7,420.00	Professional		$1,688.67	$2,165.98	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.43 / $2,275.26 / $3,554.81	Professional		$1,367.43	$2,275.26	$3,554.81