Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,282.90 / $5,048.00 / $9,539.00	Facility		$2,282.90	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.94 / $2,282.90 / $3,226.00	Professional		$1,944.94	$2,282.90	$3,226.00
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 $1,837.91 / $2,339.98 / $3,261.48	Professional		$1,837.91	$2,339.98	$3,261.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,442.87 / $2,679.93 / $5,225.85	Professional		$2,442.87	$2,679.93	$5,225.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.86 / $2,569.46 / $4,694.88	Professional		$1,998.86	$2,569.46	$4,694.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,881.64 / $2,257.96 / $2,784.83	Professional		$1,881.64	$2,257.96	$2,784.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,280.40 / $2,760.32 / $4,045.39	Facility		$2,280.40	$2,760.32	$4,045.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,408.00 / $2,890.00 / $4,637.85	Professional		$2,408.00	$2,890.00	$4,637.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,881.64 / $2,567.54 / $4,931.39	Facility		$1,881.64	$2,567.54	$4,931.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,881.64 / $2,567.54 / $4,931.39	Professional		$1,881.64	$2,567.54	$4,931.39
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 $1,810.87 / $2,441.82 / $4,261.50	Professional		$1,810.87	$2,441.82	$4,261.50