Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.20 / $5,040.00 / $10,637.11	Facility		$1,576.20	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.34 / $945.87 / $1,268.97	Professional		$823.34	$945.87	$1,268.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $28,147.00 / $30,324.00	Facility		$21,861.00	$28,147.00	$30,324.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.45 / $1,076.03 / $1,779.00	Professional		$841.45	$1,076.03	$1,779.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $979.28 / $1,024.80 / $12,325.00	Professional		$979.28	$1,024.80	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,026.31	Facility		$900.00	$900.00	$1,026.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.01 / $1,149.78 / $1,976.51	Professional		$888.01	$1,149.78	$1,976.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.35 / $1,108.93 / $1,308.39	Professional		$866.35	$1,108.93	$1,308.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $943.53 / $1,194.08 / $1,770.76	Facility		$943.53	$1,194.08	$1,770.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,267.33 / $1,744.00	Professional		$1,120.00	$1,267.33	$1,744.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $850.30 / $1,148.58 / $3,928.33	Facility		$850.30	$1,148.58	$3,928.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $850.30 / $1,148.58 / $3,928.33	Professional		$850.30	$1,148.58	$3,928.33
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 $707.90 / $1,099.10 / $1,732.80	Professional		$707.90	$1,099.10	$1,732.80