Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.30 / $4,771.00 / $8,920.00	Facility		$1,647.30	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.18 / $1,614.43 / $1,647.30	Professional		$1,424.18	$1,614.43	$1,647.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.71 / $1,312.58 / $1,824.56	Professional		$1,017.71	$1,312.58	$1,824.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,920.19 / $3,198.00 / $25,468.00	Professional		$1,920.19	$3,198.00	$25,468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.08 / $1,661.08 / $1,661.08	Facility		$1,661.08	$1,661.08	$1,661.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,328.37 / $6,328.37 / $6,328.37	Professional		$6,328.37	$6,328.37	$6,328.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.09 / $1,588.35 / $2,020.85	Professional		$1,350.09	$1,588.35	$2,020.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,059.20 / $1,647.30 / $2,470.94	Facility		$1,059.20	$1,647.30	$2,470.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,077.00 / $2,573.94 / $3,435.38	Professional		$2,077.00	$2,573.94	$3,435.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,413.47 / $4,071.00 / $41,410.00	Facility		$1,413.47	$4,071.00	$41,410.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,413.47 / $4,071.00 / $41,410.00	Professional		$1,413.47	$4,071.00	$41,410.00
United Facility/Professional Facility Modifier Low / Median / High Price $20,499.00 / $35,506.00 / $81,661.00	Facility		$20,499.00	$35,506.00	$81,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.14 / $1,367.57 / $2,401.01	Professional		$909.14	$1,367.57	$2,401.01