Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $5,914.99	Facility		$2,090.00	$2,090.00	$5,914.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,090.00 / $2,350.00 / $4,581.16	Professional		$2,090.00	$2,350.00	$4,581.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,351.96 / $3,001.91 / $4,124.96	Professional		$2,351.96	$3,001.91	$4,124.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $2,744.00 / $4,777.50	Professional		$2,450.00	$2,744.00	$4,777.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,019.74 / $2,863.80 / $5,535.25	Professional		$2,019.74	$2,863.80	$5,535.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,363.48 / $2,836.19 / $3,497.97	Professional		$2,363.48	$2,836.19	$3,497.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,800.00 / $4,037.10	Facility		$2,200.00	$2,800.00	$4,037.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,504.00 / $2,938.00 / $5,334.00	Professional		$2,504.00	$2,938.00	$5,334.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,121.73 / $2,821.50 / $5,816.88	Facility		$2,121.73	$2,821.50	$5,816.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,103.75 / $2,821.50 / $5,481.41	Professional		$2,103.75	$2,821.50	$5,481.41
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 $2,100.00 / $2,400.00 / $4,062.73	Professional		$2,100.00	$2,400.00	$4,062.73