Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $9,549.93	Facility		$3,235.94	$4,786.30	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $5,754.40	Professional		$2,511.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,623.41	Professional		$2,691.53	$3,630.78	$5,623.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,090.30 / $4,168.69	Professional		$2,754.23	$3,090.30	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $5,623.41	Professional		$2,187.76	$3,311.31	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $4,897.79	Professional		$2,511.89	$3,019.95	$4,897.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $6,456.54	Professional		$3,235.94	$3,311.31	$6,456.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $5,623.41	Facility		$2,630.27	$3,630.78	$5,623.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $4,570.88	Professional		$2,238.72	$2,238.72	$4,570.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $6,165.95	Facility		$2,511.89	$3,311.31	$6,165.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $6,165.95	Professional		$2,511.89	$3,311.31	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,495.41	Professional		$2,187.76	$3,090.30	$5,495.41