Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,129.26 / $5,048.00 / $9,539.00	Facility		$2,129.26	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,034.76 / $2,129.26 / $2,982.45	Professional		$2,034.76	$2,129.26	$2,982.45
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 $1,681.19 / $2,140.44 / $2,983.36	Professional		$1,681.19	$2,140.44	$2,983.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,119.31 / $2,429.32 / $4,737.17	Professional		$2,119.31	$2,429.32	$4,737.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,864.90 / $2,594.10 / $4,308.66	Professional		$1,864.90	$2,594.10	$4,308.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,717.62 / $2,061.14 / $2,542.08	Professional		$1,717.62	$2,061.14	$2,542.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,129.26 / $2,613.17 / $3,867.61	Facility		$2,129.26	$2,613.17	$3,867.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,491.00 / $2,847.00 / $4,232.57	Professional		$2,491.00	$2,847.00	$4,232.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,760.51 / $2,566.50 / $4,525.56	Facility		$1,760.51	$2,566.50	$4,525.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,760.51 / $2,566.50 / $4,525.56	Professional		$1,760.51	$2,566.50	$4,525.56
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 $1,653.46 / $2,652.07 / $3,984.78	Professional		$1,653.46	$2,652.07	$3,984.78