Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,040.00 / $10,637.11	Facility		$1,749.00	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.47 / $1,164.98 / $1,722.04	Professional		$1,021.47	$1,164.98	$1,722.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.14 / $1,327.55 / $2,194.83	Professional		$1,038.14	$1,327.55	$2,194.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,221.19 / $1,261.25 / $7,889.00	Professional		$1,221.19	$1,261.25	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,268.30	Facility		$900.00	$900.00	$1,268.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.74 / $1,445.24 / $2,454.53	Professional		$1,094.74	$1,445.24	$2,454.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,068.04 / $1,367.09 / $1,609.84	Professional		$1,068.04	$1,367.09	$1,609.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,163.33 / $1,481.90 / $2,131.91	Facility		$1,163.33	$1,481.90	$2,131.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,385.00 / $1,574.45 / $2,168.00	Professional		$1,385.00	$1,574.45	$2,168.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,080.30 / $1,424.01 / $4,878.80	Facility		$1,080.30	$1,424.01	$4,878.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,080.30 / $1,424.01 / $4,878.80	Professional		$1,080.30	$1,424.01	$4,878.80
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 $921.02 / $1,454.50 / $2,262.14	Professional		$921.02	$1,454.50	$2,262.14