Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.61 / $3,912.00 / $8,920.00	Facility		$1,189.61	$3,912.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.76 / $1,189.61 / $1,483.31	Professional		$1,058.76	$1,189.61	$1,483.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.61 / $1,239.92 / $1,700.55	Professional		$969.61	$1,239.92	$1,700.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,170.88 / $1,637.54 / $5,036.00	Professional		$1,170.88	$1,637.54	$5,036.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.04 / $1,405.91 / $2,667.34	Professional		$1,028.04	$1,405.91	$2,667.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.86 / $1,185.43 / $1,462.03	Professional		$987.86	$1,185.43	$1,462.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,083.75 / $1,405.91 / $1,943.40	Facility		$1,083.75	$1,405.91	$1,943.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,311.00 / $1,472.00 / $2,434.32	Professional		$1,311.00	$1,472.00	$2,434.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,085.20 / $1,373.79 / $2,583.56	Facility		$1,085.20	$1,373.79	$2,583.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,085.20 / $1,373.79 / $2,583.56	Professional		$1,085.20	$1,373.79	$2,583.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.56 / $1,455.01 / $2,323.61	Professional		$868.56	$1,455.01	$2,323.61