Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,293.29 / $5,048.00 / $9,539.00	Facility		$2,293.29	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,890.18 / $2,293.29 / $4,204.25	Professional		$1,890.18	$2,293.29	$4,204.25
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 $1,810.88 / $2,305.58 / $3,213.52	Professional		$1,810.88	$2,305.58	$3,213.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,410.21 / $2,684.70 / $5,235.16	Professional		$2,410.21	$2,684.70	$5,235.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.90 / $2,548.36 / $4,621.64	Professional		$1,977.90	$2,548.36	$4,621.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,861.90 / $2,234.28 / $2,755.61	Professional		$1,861.90	$2,234.28	$2,755.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,230.67 / $2,721.24 / $4,046.89	Facility		$2,230.67	$2,721.24	$4,046.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,834.00 / $4,578.89	Professional		$2,398.00	$2,834.00	$4,578.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,861.91 / $2,543.13 / $4,854.42	Facility		$1,861.91	$2,543.13	$4,854.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,861.91 / $2,543.13 / $4,854.42	Professional		$1,861.91	$2,543.13	$4,854.42
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 $1,776.67 / $2,299.21 / $4,410.32	Professional		$1,776.67	$2,299.21	$4,410.32