Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,358.36 / $2,358.36 / $2,383.46	Facility		$2,358.36	$2,358.36	$2,383.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,257.73 / $2,358.36 / $2,685.69	Professional		$2,257.73	$2,358.36	$2,685.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,471.64 / $4,471.64 / $4,748.89	Facility		$4,471.64	$4,471.64	$4,748.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,731.85 / $2,731.85 / $3,561.11	Professional		$2,731.85	$2,731.85	$3,561.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $3,056.80	Professional		$2,398.00	$2,398.00	$3,056.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $3,813.78	Facility		$3,813.78	$3,813.78	$3,813.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $3,813.78	Professional		$2,784.06	$2,784.06	$3,813.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,130.16 / $4,024.49 / $5,365.98	Professional		$3,130.16	$4,024.49	$5,365.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,440.20 / $2,759.28 / $5,090.20	Facility		$1,440.20	$2,759.28	$5,090.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,514.00 / $5,873.54 / $7,448.33	Professional		$2,514.00	$5,873.54	$7,448.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,449.89 / $3,360.47 / $5,336.82	Facility		$2,449.89	$3,360.47	$5,336.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,449.89 / $3,360.47 / $5,336.82	Professional		$2,449.89	$3,360.47	$5,336.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,079.11 / $2,230.86 / $3,437.68	Professional		$2,079.11	$2,230.86	$3,437.68