Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.69 / $5,087.00 / $8,294.00	Facility		$1,075.69	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.53 / $1,073.85 / $1,355.86	Professional		$901.53	$1,073.85	$1,355.86
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 $933.04 / $1,193.15 / $1,972.63	Professional		$933.04	$1,193.15	$1,972.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,049.80 / $1,154.78 / $5,113.00	Professional		$1,049.80	$1,154.78	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,131.88	Facility		$640.00	$640.00	$1,131.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.70 / $1,326.81 / $2,167.87	Professional		$966.70	$1,326.81	$2,167.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.13 / $1,229.45 / $1,452.98	Professional		$952.13	$1,229.45	$1,452.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $992.97 / $1,271.24 / $1,931.60	Facility		$992.97	$1,271.24	$1,931.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,376.00 / $1,878.00	Professional		$1,190.00	$1,376.00	$1,878.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $968.10 / $1,282.05 / $4,179.89	Facility		$968.10	$1,282.05	$4,179.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $968.10 / $1,282.05 / $4,179.89	Professional		$968.10	$1,282.05	$4,179.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.50 / $1,294.38 / $2,009.95	Professional		$769.50	$1,294.38	$2,009.95