Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,282.00 / $10,767.00	Facility		$3,633.00	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,379.51 / $4,108.35 / $4,977.68	Professional		$3,379.51	$4,108.35	$4,977.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,208.48 / $4,182.35 / $5,850.76	Professional		$3,208.48	$4,182.35	$5,850.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,919.85 / $4,234.96 / $8,258.17	Professional		$3,919.85	$4,234.96	$8,258.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $4,091.99	Facility		$490.00	$610.00	$4,091.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.79 / $4,322.72 / $7,749.46	Professional		$2,316.79	$4,322.72	$7,749.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,244.37 / $4,007.75 / $6,181.28	Professional		$3,244.37	$4,007.75	$6,181.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,233.57 / $4,584.66 / $6,729.82	Facility		$3,233.57	$4,584.66	$6,729.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,340.00 / $5,156.00 / $8,182.20	Professional		$4,340.00	$5,156.00	$8,182.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,408.46 / $4,303.14 / $7,906.18	Facility		$2,408.46	$4,303.14	$7,906.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,408.46 / $4,303.14 / $7,906.18	Professional		$2,408.46	$4,303.14	$7,906.18
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,538.19 / $3,919.56 / $7,264.17	Professional		$2,538.19	$3,919.56	$7,264.17