Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $6,759.77 / $14,187.00	Facility		$3,633.00	$6,759.77	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,467.03 / $6,613.66 / $8,468.26	Professional		$5,467.03	$6,613.66	$8,468.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,255.27 / $6,720.30 / $9,216.89	Professional		$5,255.27	$6,720.30	$9,216.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,274.11 / $7,597.52 / $13,227.82	Professional		$6,274.11	$7,597.52	$13,227.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,450.76 / $7,807.59 / $15,077.86	Professional		$5,450.76	$7,807.59	$15,077.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,317.82 / $6,381.38 / $7,870.37	Professional		$5,317.82	$6,381.38	$7,870.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,107.79 / $7,678.45 / $11,043.00	Facility		$6,107.79	$7,678.45	$11,043.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,280.00 / $8,259.00 / $13,106.18	Professional		$7,280.00	$8,259.00	$13,106.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,816.65 / $7,379.21 / $12,782.10	Facility		$3,816.65	$7,379.21	$12,782.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,816.65 / $7,379.21 / $12,782.10	Professional		$3,816.65	$7,379.21	$12,782.10
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 $4,909.76 / $8,002.33 / $13,049.43	Professional		$4,909.76	$8,002.33	$13,049.43