Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,744.42 / $5,048.00 / $9,539.00	Facility		$2,744.42	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,243.08 / $2,744.42 / $3,251.01	Professional		$2,243.08	$2,744.42	$3,251.01
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 $2,246.55 / $2,872.83 / $3,940.08	Professional		$2,246.55	$2,872.83	$3,940.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,819.68 / $3,158.04 / $5,498.38	Professional		$2,819.68	$3,158.04	$5,498.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,360.63 / $3,243.41 / $6,148.00	Professional		$2,360.63	$3,243.41	$6,148.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,303.05 / $2,763.66 / $3,408.51	Professional		$2,303.05	$2,763.66	$3,408.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,503.98 / $3,362.77 / $4,713.05	Facility		$2,503.98	$3,362.77	$4,713.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,056.00 / $3,406.14 / $5,698.03	Professional		$3,056.00	$3,406.14	$5,698.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,335.46 / $3,234.32 / $5,713.04	Facility		$2,335.46	$3,234.32	$5,713.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,335.46 / $3,234.32 / $5,713.04	Professional		$2,335.46	$3,234.32	$5,713.04
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 $2,023.62 / $3,277.33 / $5,331.77	Professional		$2,023.62	$3,277.33	$5,331.77