Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.65 / $5,048.00 / $9,539.00	Facility		$2,626.65	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,155.98 / $2,626.65 / $3,281.93	Professional		$2,155.98	$2,626.65	$3,281.93
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 $2,103.07 / $2,676.10 / $3,735.26	Professional		$2,103.07	$2,676.10	$3,735.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,561.73 / $2,694.11 / $5,253.51	Professional		$2,561.73	$2,694.11	$5,253.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.18 / $2,626.80 / $5,314.02	Professional		$1,763.18	$2,626.80	$5,314.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,163.42 / $2,596.10 / $3,201.86	Professional		$2,163.42	$2,596.10	$3,201.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,163.42 / $2,919.99 / $4,290.97	Facility		$2,163.42	$2,919.99	$4,290.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,899.00 / $2,943.00 / $5,316.34	Professional		$1,899.00	$2,943.00	$5,316.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,581.12 / $2,787.45 / $5,581.98	Facility		$1,581.12	$2,787.45	$5,581.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,581.12 / $2,787.45 / $5,581.98	Professional		$1,581.12	$2,787.45	$5,581.98
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 $1,355.71 / $2,307.21 / $5,120.63	Professional		$1,355.71	$2,307.21	$5,120.63