Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,011.87 / $16,595.87	Facility		$2,398.83	$5,011.87	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $4,168.69	Professional		$1,949.84	$2,290.87	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $18,620.87 / $25,703.96	Facility		$11,220.18	$18,620.87	$25,703.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,073.80	Professional		$1,949.84	$2,691.53	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $3,090.30	Professional		$2,041.74	$2,238.72	$3,090.30
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 $1,698.24 / $2,570.40 / $4,168.69	Professional		$1,698.24	$2,570.40	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $3,715.35	Professional		$1,862.09	$2,238.72	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $4,786.30	Professional		$2,818.38	$2,951.21	$4,786.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,365.16	Facility		$2,041.74	$2,818.38	$4,365.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $4,365.16	Professional		$2,344.23	$2,344.23	$4,365.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,897.79	Facility		$2,041.74	$2,570.40	$4,897.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,897.79	Professional		$2,041.74	$2,570.40	$4,897.79
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 $1,659.59 / $2,454.71 / $4,168.69	Professional		$1,659.59	$2,454.71	$4,168.69