Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.91 / $1,715.45 / $4,047.99	Facility		$1,338.91	$1,715.45	$4,047.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.91 / $1,696.65 / $2,108.41	Professional		$1,338.91	$1,696.65	$2,108.41
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 $1,226.95 / $1,545.28 / $2,554.81	Professional		$1,226.95	$1,545.28	$2,554.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.62 / $1,672.91 / $4,646.00	Professional		$1,445.62	$1,672.91	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,281.71	Facility		$640.00	$640.00	$2,281.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.11 / $2,175.13 / $3,474.42	Professional		$1,423.11	$2,175.13	$3,474.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,614.60 / $2,066.69 / $2,403.12	Professional		$1,614.60	$2,066.69	$2,403.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,611.07 / $2,185.85 / $3,353.32	Facility		$1,611.07	$2,185.85	$3,353.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,287.78 / $2,656.00 / $3,227.00	Professional		$2,287.78	$2,656.00	$3,227.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,367.48 / $1,990.91 / $6,012.97	Facility		$1,367.48	$1,990.91	$6,012.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,691.51 / $2,347.15 / $6,585.00	Professional		$1,691.51	$2,347.15	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.31 / $2,188.42 / $3,483.55	Professional		$1,401.31	$2,188.42	$3,483.55