Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.73 / $4,796.00 / $9,539.00	Facility		$1,914.73	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.06 / $1,914.73 / $2,393.17	Professional		$1,500.06	$1,914.73	$2,393.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,583.95 / $2,025.52 / $2,778.00	Professional		$1,583.95	$2,025.52	$2,778.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,908.60 / $2,137.63 / $3,721.77	Professional		$1,908.60	$2,137.63	$3,721.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.88 / $2,262.87 / $4,217.35	Professional		$1,609.88	$2,262.87	$4,217.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.03 / $1,909.24 / $2,359.55	Professional		$1,591.03	$1,909.24	$2,359.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,769.97 / $2,261.91 / $3,226.11	Facility		$1,769.97	$2,261.91	$3,226.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,102.63 / $2,393.16 / $3,907.54	Professional		$2,102.63	$2,393.16	$3,907.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,657.11 / $2,161.48 / $3,986.98	Facility		$1,657.11	$2,161.48	$3,986.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,657.11 / $2,161.48 / $3,986.98	Professional		$1,657.11	$2,161.48	$3,986.98
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 $1,386.21 / $2,172.00 / $3,677.84	Professional		$1,386.21	$2,172.00	$3,677.84