Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,299.03 / $5,299.03 / $33,300.00	Facility		$5,299.03	$5,299.03	$33,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,715.58 / $5,299.03 / $5,377.63	Professional		$4,715.58	$5,299.03	$5,377.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,047.45 / $10,047.45 / $10,670.39	Facility		$10,047.45	$10,047.45	$10,670.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,950.24 / $7,950.24 / $9,775.61	Professional		$7,950.24	$7,950.24	$9,775.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,609.10 / $5,609.10 / $6,868.37	Professional		$5,609.10	$5,609.10	$6,868.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $7,957.05	Facility		$7,957.05	$7,957.05	$7,957.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $7,957.05	Professional		$6,763.49	$6,763.49	$7,957.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,033.22 / $9,042.70 / $12,056.94	Professional		$7,033.22	$9,042.70	$12,056.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,883.76 / $6,179.36 / $11,226.36	Facility		$2,883.76	$6,179.36	$11,226.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,514.00 / $13,197.37 / $16,735.79	Professional		$5,514.00	$13,197.37	$16,735.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,504.70 / $7,582.72 / $10,993.83	Facility		$5,504.70	$7,582.72	$10,993.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,504.70 / $7,582.72 / $10,993.83	Professional		$5,504.70	$7,582.72	$10,993.83
United Facility/Professional Facility Modifier Low / Median / High Price $11,938.27 / $11,938.27 / $14,325.92	Facility		$11,938.27	$11,938.27	$14,325.92
United Facility/Professional Professional Modifier Low / Median / High Price $4,530.43 / $5,012.56 / $7,550.71	Professional		$4,530.43	$5,012.56	$7,550.71