Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,587.29 / $5,048.00 / $9,539.00	Facility		$2,587.29	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,152.06 / $2,587.29 / $3,119.68	Professional		$2,152.06	$2,587.29	$3,119.68
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 $2,245.92 / $2,872.04 / $3,939.00	Professional		$2,245.92	$2,872.04	$3,939.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,575.48 / $2,884.55 / $5,022.21	Professional		$2,575.48	$2,884.55	$5,022.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,090.92 / $3,000.89 / $6,007.24	Professional		$2,090.92	$3,000.89	$6,007.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,253.31 / $2,703.97 / $3,339.78	Professional		$2,253.31	$2,703.97	$3,339.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,497.25 / $3,141.72 / $4,487.51	Facility		$2,497.25	$3,141.72	$4,487.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,498.00 / $3,267.00 / $5,185.00	Professional		$2,498.00	$3,267.00	$5,185.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,075.34 / $2,901.87 / $5,558.43	Facility		$2,075.34	$2,901.87	$5,558.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,075.34 / $2,901.87 / $5,558.43	Professional		$2,075.34	$2,901.87	$5,558.43
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 $1,956.12 / $3,034.56 / $5,209.71	Professional		$1,956.12	$3,034.56	$5,209.71