Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $9,549.93	Facility		$2,818.38	$3,981.07	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,801.89	Professional		$2,238.72	$2,754.23	$3,801.89
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 $2,089.30 / $2,818.38 / $3,890.45	Professional		$2,089.30	$2,818.38	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,981.07	Professional		$2,344.23	$2,951.21	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $5,754.40	Professional		$2,187.76	$3,019.95	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $2,951.21	Professional		$1,995.26	$2,398.83	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $5,248.07	Facility		$2,290.87	$3,235.94	$5,248.07
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 $2,137.96 / $3,890.45 / $5,495.41	Professional		$2,137.96	$3,890.45	$5,495.41