Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.97 / $5,388.00 / $11,024.00	Facility		$1,320.97	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.47 / $1,215.47 / $1,756.70	Professional		$1,077.47	$1,215.47	$1,756.70
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 $1,082.71 / $1,384.54 / $2,289.05	Professional		$1,082.71	$1,384.54	$2,289.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.31 / $1,381.61 / $5,804.00	Professional		$1,348.31	$1,381.61	$5,804.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,325.95	Facility		$640.00	$640.00	$1,325.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.98 / $1,519.87 / $2,578.79	Professional		$1,142.98	$1,519.87	$2,578.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,115.10 / $1,427.34 / $1,678.31	Professional		$1,115.10	$1,427.34	$1,678.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,214.68 / $1,561.14 / $2,275.48	Facility		$1,214.68	$1,561.14	$2,275.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,467.00 / $1,659.05 / $2,283.00	Professional		$1,467.00	$1,659.05	$2,283.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,118.22 / $1,496.80 / $5,020.22	Facility		$1,118.22	$1,496.80	$5,020.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,118.22 / $1,496.80 / $5,020.22	Professional		$1,118.22	$1,496.80	$5,020.22
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 $917.84 / $1,400.07 / $2,254.01	Professional		$917.84	$1,400.07	$2,254.01