Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,411.45 / $13,234.70	Facility		$3,633.00	$5,411.45	$13,234.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,559.33 / $5,411.45 / $5,993.95	Professional		$4,559.33	$5,411.45	$5,993.95
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 $4,299.79 / $5,498.46 / $7,541.13	Professional		$4,299.79	$5,498.46	$7,541.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,218.70 / $5,844.94 / $10,176.46	Professional		$5,218.70	$5,844.94	$10,176.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,745.03 / $6,055.95 / $11,950.56	Professional		$3,745.03	$6,055.95	$11,950.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,298.21 / $5,157.85 / $6,361.35	Professional		$4,298.21	$5,157.85	$6,361.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,770.14 / $5,952.60 / $8,901.49	Facility		$4,770.14	$5,952.60	$8,901.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,356.00 / $6,428.00 / $10,568.33	Professional		$5,356.00	$6,428.00	$10,568.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,456.12 / $5,802.75 / $10,232.56	Facility		$3,456.12	$5,802.75	$10,232.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,456.12 / $5,802.75 / $10,232.56	Professional		$3,456.12	$5,802.75	$10,232.56
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 $3,808.05 / $5,372.76 / $10,363.98	Professional		$3,808.05	$5,372.76	$10,363.98