Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,073.80 / $5,248.07	Facility		$1,584.89	$4,073.80	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,454.71	Professional		$1,412.54	$1,659.59	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,220.18 / $13,182.57	Facility		$8,511.38	$11,220.18	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $23.44	Professional		$13.18	$13.18	$23.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $1,905.46	Professional		$1,621.81	$1,737.80	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,248.07 / $10,964.78	Facility		$2,187.76	$5,248.07	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,090.30	Professional		$2,570.40	$2,570.40	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,951.21	Professional		$2,137.96	$2,344.23	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,311.31	Facility		$1,584.89	$2,041.74	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,466.84	Professional		$1,380.38	$1,380.38	$4,466.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Professional		$1,479.11	$2,398.83	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $2,570.40	Facility		$1,288.25	$2,137.96	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,454.71	Professional		$891.25	$1,071.52	$2,454.71