Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $9,549.93	Facility		$2,187.76	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,235.94	Professional		$1,905.46	$2,187.76	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $23,442.29 / $31,622.78	Facility		$13,803.84	$23,442.29	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,890.45	Professional		$2,041.74	$2,754.23	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,388.44	Professional		$2,089.30	$2,630.27	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,786.30	Professional		$1,905.46	$2,570.40	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $6,165.95	Professional		$1,905.46	$2,398.83	$6,165.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $4,897.79	Professional		$2,691.53	$3,388.44	$4,897.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $4,265.80	Facility		$2,041.74	$2,884.03	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $7,943.28	Facility		$1,862.09	$2,691.53	$7,943.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $7,943.28	Professional		$1,862.09	$2,691.53	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,265.80	Professional		$1,698.24	$2,511.89	$4,265.80