Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,455.60 / $5,048.00 / $9,539.00	Facility		$2,455.60	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.54 / $2,455.60 / $3,295.92	Professional		$2,017.54	$2,455.60	$3,295.92
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 $2,138.92 / $2,767.51 / $4,575.52	Professional		$2,138.92	$2,767.51	$4,575.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,486.28 / $2,486.28 / $4,699.07	Professional		$2,486.28	$2,486.28	$4,699.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,651.88	Facility		$640.00	$640.00	$2,651.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,139.57 / $2,809.40 / $5,227.81	Professional		$2,139.57	$2,809.40	$5,227.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,183.78 / $2,826.07 / $3,339.90	Professional		$2,183.78	$2,826.07	$3,339.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,193.42 / $2,845.41 / $4,174.52	Facility		$2,193.42	$2,845.41	$4,174.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,688.00 / $3,167.00 / $4,398.00	Professional		$2,688.00	$3,167.00	$4,398.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,818.32 / $5,070.50	Facility		$2,070.00	$2,818.32	$5,070.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,818.32 / $5,070.50	Professional		$2,070.00	$2,818.32	$5,070.50
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 $1,702.33 / $2,611.87 / $4,350.21	Professional		$1,702.33	$2,611.87	$4,350.21