Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.37 / $2,914.55 / $3,587.31	Facility		$1,383.37	$2,914.55	$3,587.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,845.97 / $2,914.55 / $2,914.55	Professional		$2,845.97	$2,914.55	$2,914.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,194.62 / $4,630.64 / $7,461.71	Facility		$2,194.62	$4,630.64	$7,461.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $2,743.10 / $3,360.29	Professional		$1,920.00	$2,743.10	$3,360.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,743.10 / $2,743.10	Professional		$2,743.10	$2,743.10	$2,743.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,768.82 / $3,914.73 / $4,605.56	Professional		$2,768.82	$3,914.73	$4,605.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $3,428.88 / $4,809.01	Facility		$2,914.55	$3,428.88	$4,809.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,619.10 / $5,563.00 / $7,825.01	Professional		$4,619.10	$5,563.00	$7,825.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,714.53 / $3,257.44 / $4,200.38	Facility		$2,714.53	$3,257.44	$4,200.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,714.53 / $3,257.44 / $4,200.38	Professional		$2,714.53	$3,257.44	$4,200.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $3,428.88	Professional		$2,857.40	$2,857.40	$3,428.88