Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,857.42 / $5,048.00 / $9,539.00	Facility		$2,857.42	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,277.46 / $2,857.42 / $3,251.31	Professional		$2,277.46	$2,857.42	$3,251.31
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 $2,310.53 / $2,989.55 / $4,942.62	Professional		$2,310.53	$2,989.55	$4,942.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,828.55 / $2,828.55 / $5,345.96	Professional		$2,828.55	$2,828.55	$5,345.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,864.64	Facility		$640.00	$640.00	$2,864.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.67 / $3,034.24 / $5,648.96	Professional		$2,290.67	$3,034.24	$5,648.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,358.89 / $3,052.69 / $3,607.72	Professional		$2,358.89	$3,052.69	$3,607.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,372.44 / $3,188.70 / $4,841.89	Facility		$2,372.44	$3,188.70	$4,841.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,929.00 / $3,396.59 / $4,622.00	Professional		$2,929.00	$3,396.59	$4,622.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $3,044.48 / $5,477.71	Facility		$2,224.00	$3,044.48	$5,477.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,224.00 / $3,044.48 / $5,477.71	Professional		$2,224.00	$3,044.48	$5,477.71
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 $1,849.53 / $2,828.71 / $4,700.75	Professional		$1,849.53	$2,828.71	$4,700.75