Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.04 / $5,048.00 / $9,539.00	Facility		$2,189.04	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,920.01 / $2,189.04 / $2,895.31	Professional		$1,920.01	$2,189.04	$2,895.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,733.43 / $2,206.96 / $3,076.06	Professional		$1,733.43	$2,206.96	$3,076.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,080.91 / $2,433.53 / $4,745.38	Professional		$2,080.91	$2,433.53	$4,745.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.91 / $2,587.05 / $4,441.28	Professional		$1,922.91	$2,587.05	$4,441.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,771.03 / $2,125.23 / $2,621.12	Professional		$1,771.03	$2,125.23	$2,621.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,189.04 / $2,687.36 / $4,002.41	Facility		$2,189.04	$2,687.36	$4,002.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,564.00 / $2,893.00 / $4,363.87	Professional		$2,564.00	$2,893.00	$4,363.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,814.38 / $2,600.76 / $4,664.95	Facility		$1,814.38	$2,600.76	$4,664.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,814.38 / $2,600.76 / $4,664.95	Professional		$1,814.38	$2,600.76	$4,664.95
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 $1,704.04 / $2,797.66 / $4,226.49	Professional		$1,704.04	$2,797.66	$4,226.49