Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $9,549.93	Facility		$3,090.30	$4,365.16	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,265.80	Professional		$2,454.71	$3,019.95	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $22,387.21 / $38,018.94	Facility		$12,882.50	$22,387.21	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $4,365.16	Professional		$2,344.23	$3,090.30	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $4,466.84	Professional		$2,630.27	$3,311.31	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $5,754.40	Professional		$2,454.71	$3,311.31	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $3,235.94	Professional		$2,187.76	$2,630.27	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $5,754.40	Facility		$2,511.89	$3,548.13	$5,754.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $10,000.00	Facility		$2,187.76	$3,311.31	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $10,000.00	Professional		$2,187.76	$3,311.31	$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 $2,238.72 / $3,548.13 / $5,754.40	Professional		$2,238.72	$3,548.13	$5,754.40