Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,975.65 / $5,048.00 / $9,539.00	Facility		$2,975.65	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,477.85 / $2,975.65 / $3,988.31	Professional		$2,477.85	$2,975.65	$3,988.31
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 $2,443.54 / $3,124.74 / $5,166.13	Professional		$2,443.54	$3,124.74	$5,166.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,956.98 / $2,956.98 / $5,588.69	Professional		$2,956.98	$2,956.98	$5,588.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $2,995.12	Facility		$1,700.00	$1,700.00	$2,995.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.40 / $3,231.16 / $5,910.12	Professional		$2,465.40	$3,231.16	$5,910.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,465.40 / $3,190.52 / $3,770.61	Professional		$2,465.40	$3,190.52	$3,770.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,686.30 / $3,420.13 / $5,058.60	Facility		$2,686.30	$3,420.13	$5,058.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,290.00 / $3,708.00 / $4,972.00	Professional		$3,290.00	$3,708.00	$4,972.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,322.14 / $3,257.19 / $5,725.66	Facility		$2,322.14	$3,257.19	$5,725.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,322.14 / $3,257.19 / $5,725.66	Professional		$2,322.14	$3,257.19	$5,725.66
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 $1,961.74 / $3,126.01 / $4,917.59	Professional		$1,961.74	$3,126.01	$4,917.59