Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.70 / $5,412.00 / $11,425.00	Facility		$1,640.70	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.89 / $1,524.61 / $2,295.67	Professional		$1,342.89	$1,524.61	$2,295.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.23 / $1,729.20 / $2,858.88	Professional		$1,352.23	$1,729.20	$2,858.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,682.28 / $1,725.19 / $9,951.00	Professional		$1,682.28	$1,725.19	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,656.40	Facility		$640.00	$640.00	$1,656.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.51 / $1,893.35 / $3,218.65	Professional		$1,425.51	$1,893.35	$3,218.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,390.74 / $1,780.15 / $2,092.66	Professional		$1,390.74	$1,780.15	$2,092.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.58 / $1,928.70 / $2,763.39	Facility		$1,513.58	$1,928.70	$2,763.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,823.00 / $2,068.53 / $2,846.00	Professional		$1,823.00	$2,068.53	$2,846.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,396.38 / $1,862.80 / $6,264.71	Facility		$1,396.38	$1,862.80	$6,264.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,396.38 / $1,862.80 / $6,264.71	Professional		$1,396.38	$1,862.80	$6,264.71
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 $1,142.69 / $1,783.11 / $2,785.99	Professional		$1,142.69	$1,783.11	$2,785.99