Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.30 / $3,912.00 / $8,920.00	Facility		$1,138.30	$3,912.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.33 / $1,049.34 / $1,343.64	Professional		$909.33	$1,049.34	$1,343.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.88 / $1,195.51 / $1,976.53	Professional		$934.88	$1,195.51	$1,976.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,087.01 / $1,194.45 / $3,019.00	Professional		$1,087.01	$1,194.45	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $1,143.33 / $1,700.00	Facility		$1,143.33	$1,143.33	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.77 / $1,263.15 / $2,222.90	Professional		$954.77	$1,263.15	$2,222.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.72 / $1,231.00 / $1,448.59	Professional		$961.72	$1,231.00	$1,448.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,049.34 / $1,311.40 / $1,870.51	Facility		$1,049.34	$1,311.40	$1,870.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,259.00 / $1,409.00 / $1,886.00	Professional		$1,259.00	$1,409.00	$1,886.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $965.92 / $1,250.24 / $3,512.00	Facility		$965.92	$1,250.24	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $965.92 / $1,250.24 / $3,512.00	Professional		$965.92	$1,250.24	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.06 / $1,203.66 / $1,942.95	Professional		$760.06	$1,203.66	$1,942.95