Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,328.00 / $9,347.59	Facility		$1,538.00	$5,328.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.49 / $1,180.71 / $1,620.85	Professional		$1,039.49	$1,180.71	$1,620.85
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 $1,041.53 / $1,331.88 / $2,201.98	Professional		$1,041.53	$1,331.88	$2,201.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,111.51 / $1,111.51 / $4,646.00	Professional		$1,111.51	$1,111.51	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,273.91	Facility		$776.00	$776.00	$1,273.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.38 / $1,477.63 / $2,524.07	Professional		$1,089.38	$1,477.63	$2,524.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.38 / $1,394.41 / $1,612.28	Professional		$1,089.38	$1,394.41	$1,612.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,157.48 / $1,517.45 / $2,122.21	Facility		$1,157.48	$1,517.45	$2,122.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,331.00 / $1,580.00 / $2,142.00	Professional		$1,331.00	$1,580.00	$2,142.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,095.06 / $1,432.38 / $5,009.00	Facility		$1,095.06	$1,432.38	$5,009.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,095.06 / $1,432.38 / $5,009.00	Professional		$1,095.06	$1,432.38	$5,009.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.38 / $1,379.56 / $2,311.44	Professional		$889.38	$1,379.56	$2,311.44