Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.32 / $4,796.00 / $9,539.00	Facility		$2,002.32	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,715.86 / $1,832.57 / $2,353.17	Professional		$1,715.86	$1,832.57	$2,353.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.20 / $2,092.33 / $3,459.24	Professional		$1,636.20	$2,092.33	$3,459.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,918.87 / $1,918.87 / $3,626.66	Professional		$1,918.87	$1,918.87	$3,626.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,004.00	Facility		$640.00	$640.00	$2,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.94 / $2,544.59 / $3,889.72	Professional		$1,740.94	$2,544.59	$3,889.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,681.97 / $2,152.92 / $2,530.83	Professional		$1,681.97	$2,152.92	$2,530.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,832.57 / $2,380.44 / $3,664.25	Facility		$1,832.57	$2,380.44	$3,664.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,239.00 / $2,630.51 / $3,544.00	Professional		$2,239.00	$2,630.51	$3,544.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,753.68 / $2,427.02 / $4,293.31	Facility		$1,753.68	$2,427.02	$4,293.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,753.68 / $2,427.02 / $4,293.31	Professional		$1,753.68	$2,427.02	$4,293.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,460.09 / $2,300.15 / $3,547.29	Professional		$1,460.09	$2,300.15	$3,547.29