Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,533.31 / $5,048.00 / $9,539.00	Facility		$2,533.31	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,132.28 / $2,533.31 / $3,226.00	Professional		$2,132.28	$2,533.31	$3,226.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.74 / $2,507.83 / $3,495.41	Professional		$1,969.74	$2,507.83	$3,495.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,605.28 / $2,904.76 / $5,664.28	Professional		$2,605.28	$2,904.76	$5,664.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.01 / $2,993.91 / $5,101.28	Professional		$2,140.01	$2,993.91	$5,101.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,967.30 / $2,360.76 / $2,911.60	Professional		$1,967.30	$2,360.76	$2,911.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,509.23 / $3,072.21 / $4,480.54	Facility		$2,509.23	$3,072.21	$4,480.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,844.00 / $3,185.57 / $4,961.28	Professional		$2,844.00	$3,185.57	$4,961.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,033.56 / $2,917.40 / $5,358.52	Facility		$2,033.56	$2,917.40	$5,358.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,033.56 / $2,917.40 / $5,358.52	Professional		$2,033.56	$2,917.40	$5,358.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,962.28 / $3,072.37 / $4,630.39	Professional		$1,962.28	$3,072.37	$4,630.39