Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $10,232.93	Facility		$3,162.28	$4,786.30	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $6,165.95	Professional		$2,630.27	$3,162.28	$6,165.95
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 $3,019.95 / $4,365.16 / $7,585.78	Professional		$3,019.95	$4,365.16	$7,585.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,630.78 / $5,011.87	Professional		$3,235.94	$3,630.78	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $6,456.54	Professional		$2,818.38	$3,630.78	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,168.69	Professional		$2,691.53	$3,467.37	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $7,079.46	Professional		$3,981.07	$5,011.87	$7,079.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $6,025.60	Facility		$2,818.38	$3,890.45	$6,025.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $13,489.63	Facility		$2,691.53	$3,801.89	$13,489.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $13,489.63	Professional		$2,691.53	$3,801.89	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $35,481.34	Facility		$9,549.93	$17,782.79	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $6,025.60	Professional		$2,238.72	$3,467.37	$6,025.60