Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $9,549.93	Facility		$2,089.30	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,818.38	Professional		$1,621.81	$1,995.26	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,884.03	Professional		$1,548.82	$2,089.30	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,019.95	Professional		$1,737.80	$2,187.76	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,162.28	Professional		$1,659.59	$2,187.76	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,238.72	Professional		$1,513.56	$1,819.70	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,801.89	Professional		$2,344.23	$2,951.21	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,801.89	Facility		$1,737.80	$2,454.71	$3,801.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $7,943.28	Facility		$1,548.82	$2,187.76	$7,943.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $7,943.28	Professional		$1,548.82	$2,187.76	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,630.78	Professional		$1,479.11	$2,290.87	$3,630.78