Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $13,803.84	Facility		$4,897.79	$10,232.93	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,370.32	Professional		$4,897.79	$4,897.79	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $9,772.37 / $16,595.87	Facility		$4,897.79	$9,772.37	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $8,317.64	Professional		$4,897.79	$4,897.79	$8,317.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,454.71	Professional		$1,412.54	$1,621.81	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,897.79 / $4,897.79	Facility		$4,677.35	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,168.69 / $5,888.44	Professional		$1,584.89	$4,168.69	$5,888.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,897.79	Facility		$1,584.89	$1,584.89	$4,897.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,786.30 / $7,244.36	Facility		$1,513.56	$4,786.30	$7,244.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,786.30 / $7,244.36	Professional		$1,513.56	$4,786.30	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $4,897.79	Facility		$1,047.13	$1,737.80	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $4,897.79	Professional		$1,584.89	$4,897.79	$4,897.79