Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,677.35 / $9,549.93	Facility		$1,513.56	$4,677.35	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $5,888.44	Professional		$3,548.13	$4,365.16	$5,888.44
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 $4,073.80 / $5,370.32 / $7,585.78	Professional		$4,073.80	$5,370.32	$7,585.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $6,760.83	Professional		$4,168.69	$5,248.07	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $9,549.93	Professional		$3,388.44	$4,677.35	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $12,882.50	Professional		$3,981.07	$4,897.79	$12,882.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $9,772.37	Professional		$4,570.88	$5,888.44	$9,772.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $8,511.38	Facility		$3,981.07	$5,495.41	$8,511.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $10,000.00	Facility		$2,951.21	$4,786.30	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $10,000.00	Professional		$2,951.21	$4,786.30	$10,000.00
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 $3,235.94 / $4,786.30 / $8,511.38	Professional		$3,235.94	$4,786.30	$8,511.38