Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.42 / $5,040.00 / $10,637.11	Facility		$1,748.42	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.32 / $1,047.31 / $1,413.34	Professional		$914.32	$1,047.31	$1,413.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.12 / $1,191.97 / $1,970.68	Professional		$932.12	$1,191.97	$1,970.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,090.42 / $1,199.46 / $15,406.00	Professional		$1,090.42	$1,199.46	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,138.27	Facility		$900.00	$900.00	$1,138.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.62 / $1,275.47 / $2,198.14	Professional		$984.62	$1,275.47	$2,198.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.60 / $1,229.57 / $1,449.55	Professional		$960.60	$1,229.57	$1,449.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,043.94 / $1,325.50 / $1,960.67	Facility		$1,043.94	$1,325.50	$1,960.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.00 / $1,411.00 / $1,941.00	Professional		$1,230.00	$1,411.00	$1,941.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $963.69 / $1,277.68 / $4,369.03	Facility		$963.69	$1,277.68	$4,369.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $963.69 / $1,277.68 / $4,369.03	Professional		$963.69	$1,277.68	$4,369.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.85 / $1,264.08 / $1,994.99	Professional		$815.85	$1,264.08	$1,994.99