Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,284.40 / $3,284.40 / $3,319.37	Facility		$3,284.40	$3,284.40	$3,319.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,201.94 / $3,284.40 / $3,740.27	Professional		$3,201.94	$3,284.40	$3,740.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,227.51 / $6,227.51 / $6,613.62	Facility		$6,227.51	$6,227.51	$6,613.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,804.46 / $3,804.46 / $4,836.27	Professional		$3,804.46	$3,804.46	$4,836.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,339.00 / $3,339.00 / $4,257.09	Professional		$3,339.00	$3,339.00	$4,257.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $4,366.38	Facility		$4,366.38	$4,366.38	$4,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $4,366.38	Professional		$3,187.46	$3,187.46	$4,366.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,359.26 / $5,604.76 / $7,473.01	Professional		$4,359.26	$5,604.76	$7,473.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,005.72 / $3,842.75 / $7,088.94	Facility		$2,005.72	$3,842.75	$7,088.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,502.00 / $8,179.87 / $10,373.02	Professional		$3,502.00	$8,179.87	$10,373.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,411.87 / $4,680.02 / $7,420.00	Facility		$3,411.87	$4,680.02	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,411.87 / $4,680.02 / $7,420.00	Professional		$3,411.87	$4,680.02	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,912.74 / $3,106.84 / $4,787.54	Professional		$2,912.74	$3,106.84	$4,787.54