Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.84 / $2,106.84 / $3,293.06	Facility		$2,106.84	$2,106.84	$3,293.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,707.58 / $2,106.84 / $4,000.62	Professional		$1,707.58	$2,106.84	$4,000.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.76 / $911.50 / $1,315.57	Professional		$724.76	$911.50	$1,315.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,109.89 / $7,865.00 / $8,430.15	Professional		$5,109.89	$7,865.00	$8,430.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,158.15 / $3,158.15 / $7,120.00	Facility		$3,158.15	$3,158.15	$7,120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,790.16 / $3,895.46 / $3,999.37	Professional		$2,790.16	$3,895.46	$3,999.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,710.32 / $3,208.72 / $4,939.59	Facility		$1,710.32	$3,208.72	$4,939.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $3,500.00 / $6,623.83	Professional		$75.00	$3,500.00	$6,623.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,251.00 / $3,501.06 / $9,929.00	Facility		$2,251.00	$3,501.06	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,251.00 / $3,501.06 / $9,929.00	Professional		$2,251.00	$3,501.06	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.87 / $2,256.04 / $4,120.16	Professional		$266.87	$2,256.04	$4,120.16