Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,117.23 / $4,150.76 / $9,761.18	Facility		$2,117.23	$4,150.76	$9,761.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,117.23 / $2,240.23	Professional		$2,016.42	$2,117.23	$2,240.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $4,254.64 / $6,855.83	Facility		$2,016.42	$4,254.64	$6,855.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,683.27 / $3,053.37 / $4,607.82	Professional		$2,683.27	$3,053.37	$4,607.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $1,902.29 / $2,016.42	Facility		$1,902.29	$1,902.29	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,713.96 / $2,419.69 / $2,540.81	Professional		$1,713.96	$2,419.69	$2,540.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $3,007.03	Facility		$2,016.42	$2,016.42	$3,007.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,915.60 / $2,159.69 / $2,581.02	Facility		$1,915.60	$2,159.69	$2,581.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,915.60 / $2,159.69 / $2,581.02	Professional		$1,915.60	$2,159.69	$2,581.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,983.85 / $2,016.42 / $2,117.23	Professional		$1,983.85	$2,016.42	$2,117.23