Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $9,549.93	Facility		$2,884.03	$4,073.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $3,981.07	Professional		$2,344.23	$2,818.38	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,073.80	Professional		$2,187.76	$2,884.03	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $4,168.69	Professional		$2,454.71	$3,090.30	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $4,466.84	Professional		$2,344.23	$3,090.30	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,090.30	Professional		$2,089.30	$2,511.89	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $5,370.32	Professional		$3,311.31	$4,168.69	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $5,370.32	Facility		$2,398.83	$3,467.37	$5,370.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $10,000.00	Facility		$2,089.30	$3,090.30	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $10,000.00	Professional		$2,089.30	$3,090.30	$10,000.00
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 $2,089.30 / $3,235.94 / $5,248.07	Professional		$2,089.30	$3,235.94	$5,248.07