Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,184.07 / $5,048.00 / $9,539.00	Facility		$2,184.07	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,791.51 / $2,184.07 / $2,503.01	Professional		$1,791.51	$2,184.07	$2,503.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.76 / $1,775.78 / $2,475.09	Professional		$1,394.76	$1,775.78	$2,475.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,674.21 / $1,853.21 / $3,264.71	Professional		$1,674.21	$1,853.21	$3,264.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.74 / $2,353.40 / $3,590.11	Professional		$1,560.74	$2,353.40	$3,590.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.57 / $1,721.48 / $2,123.16	Professional		$1,434.57	$1,721.48	$2,123.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,809.98 / $2,467.59 / $3,567.98	Facility		$1,809.98	$2,467.59	$3,567.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,420.00 / $2,693.00 / $4,727.00	Professional		$2,420.00	$2,693.00	$4,727.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,628.13 / $2,352.35 / $4,462.00	Facility		$1,628.13	$2,352.35	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,628.13 / $2,352.35 / $4,462.00	Professional		$1,628.13	$2,352.35	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,426.89 / $2,539.34 / $3,513.78	Professional		$1,426.89	$2,539.34	$3,513.78