Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,878.69 / $3,878.69 / $3,919.99	Facility		$3,878.69	$3,878.69	$3,919.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,429.99 / $3,878.69 / $3,919.99	Professional		$3,429.99	$3,878.69	$3,919.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,354.35 / $7,354.35 / $7,810.32	Facility		$7,354.35	$7,354.35	$7,810.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,971.24 / $3,971.24 / $4,999.21	Professional		$3,971.24	$3,971.24	$4,999.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,100.22 / $4,100.22 / $5,027.39	Professional		$4,100.22	$4,100.22	$5,027.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $4,423.18	Professional		$3,228.92	$3,228.92	$4,423.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,148.05 / $6,618.92 / $8,825.21	Professional		$5,148.05	$6,618.92	$8,825.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,093.60 / $4,523.06 / $8,181.62	Facility		$2,093.60	$4,523.06	$8,181.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,756.64 / $9,659.96 / $12,249.97	Professional		$4,756.64	$9,659.96	$12,249.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,029.23 / $5,550.26 / $8,777.26	Facility		$4,029.23	$5,550.26	$8,777.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,029.23 / $5,550.26 / $8,415.75	Professional		$4,029.23	$5,550.26	$8,415.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,316.10 / $3,669.00 / $5,263.66	Professional		$3,316.10	$3,669.00	$5,263.66