Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,342.48 / $5,048.00 / $9,539.00	Facility		$2,342.48	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.63 / $2,342.48 / $2,703.66	Professional		$1,893.63	$2,342.48	$2,703.66
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 $1,945.37 / $2,487.69 / $4,112.89	Professional		$1,945.37	$2,487.69	$4,112.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,350.08 / $2,350.08 / $4,441.64	Professional		$2,350.08	$2,350.08	$4,441.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $2,381.78	Facility		$1,700.00	$1,700.00	$2,381.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.90 / $2,559.10 / $4,689.43	Professional		$1,949.90	$2,559.10	$4,689.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,964.71 / $2,542.56 / $3,004.85	Professional		$1,964.71	$2,542.56	$3,004.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,138.25 / $2,722.63 / $3,982.22	Facility		$2,138.25	$2,722.63	$3,982.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,501.00 / $2,943.00 / $3,952.00	Professional		$2,501.00	$2,943.00	$3,952.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,943.93 / $2,573.30 / $4,553.97	Facility		$1,943.93	$2,573.30	$4,553.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,943.93 / $2,573.30 / $4,553.97	Professional		$1,943.93	$2,573.30	$4,553.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.84 / $2,442.78 / $3,904.01	Professional		$1,547.84	$2,442.78	$3,904.01