Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $9,549.93	Facility		$2,187.76	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,162.28	Professional		$1,778.28	$2,187.76	$3,162.28
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 $2,041.74 / $2,691.53 / $3,801.89	Professional		$2,041.74	$2,691.53	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,311.31	Professional		$2,089.30	$2,630.27	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,786.30	Professional		$1,698.24	$2,344.23	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $6,309.57	Professional		$2,041.74	$2,511.89	$6,309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,897.79	Professional		$2,137.96	$2,818.38	$4,897.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $4,168.69	Facility		$2,041.74	$2,691.53	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $7,943.28	Facility		$1,778.28	$2,454.71	$7,943.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $7,943.28	Professional		$1,778.28	$2,454.71	$7,943.28
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 $1,621.81 / $2,344.23 / $4,265.80	Professional		$1,621.81	$2,344.23	$4,265.80