Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.77 / $5,412.00 / $11,425.00	Facility		$1,552.77	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.72 / $1,552.77 / $2,154.87	Professional		$1,381.72	$1,552.77	$2,154.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.84 / $1,644.31 / $2,718.53	Professional		$1,285.84	$1,644.31	$2,718.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,642.36 / $1,773.75 / $6,433.00	Professional		$1,642.36	$1,773.75	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,576.24	Facility		$640.00	$640.00	$1,576.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.08 / $1,875.11 / $3,019.82	Professional		$1,368.08	$1,875.11	$3,019.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,324.11 / $1,694.86 / $1,976.12	Professional		$1,324.11	$1,694.86	$1,976.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,422.46 / $1,890.58 / $2,715.81	Facility		$1,422.46	$1,890.58	$2,715.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,738.00 / $2,019.00 / $2,912.95	Professional		$1,738.00	$2,019.00	$2,912.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,337.09 / $1,846.38 / $5,877.61	Facility		$1,337.09	$1,846.38	$5,877.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,337.09 / $1,846.38 / $5,877.61	Professional		$1,337.09	$1,846.38	$5,877.61
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 $1,133.14 / $1,770.54 / $2,615.23	Professional		$1,133.14	$1,770.54	$2,615.23