Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,183.12 / $5,048.00 / $9,539.00	Facility		$2,183.12	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.83 / $2,183.12 / $2,742.21	Professional		$1,808.83	$2,183.12	$2,742.21
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 $1,713.99 / $2,182.21 / $3,041.57	Professional		$1,713.99	$2,182.21	$3,041.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,266.90 / $2,508.54 / $4,891.64	Professional		$2,266.90	$2,508.54	$4,891.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,880.30 / $2,518.39 / $4,395.20	Professional		$1,880.30	$2,518.39	$4,395.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,758.36 / $2,110.03 / $2,602.37	Professional		$1,758.36	$2,110.03	$2,602.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,138.96 / $2,660.54 / $3,847.65	Facility		$2,138.96	$2,660.54	$3,847.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,405.00 / $2,691.00 / $4,317.24	Professional		$2,405.00	$2,691.00	$4,317.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,778.68 / $2,449.31 / $4,616.52	Facility		$1,778.68	$2,449.31	$4,616.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,778.68 / $2,449.31 / $4,616.52	Professional		$1,778.68	$2,449.31	$4,616.52
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 $1,689.00 / $2,653.42 / $3,989.49	Professional		$1,689.00	$2,653.42	$3,989.49