Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.70 / $5,087.00 / $23,609.00	Facility		$1,522.70	$5,087.00	$23,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.03 / $1,427.08 / $2,207.91	Professional		$1,235.03	$1,427.08	$2,207.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,272.32 / $1,627.02 / $2,689.95	Professional		$1,272.32	$1,627.02	$2,689.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,497.13 / $1,545.65 / $7,889.00	Professional		$1,497.13	$1,545.65	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,554.52	Facility		$640.00	$640.00	$1,554.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.53 / $1,793.16 / $3,011.83	Professional		$1,324.53	$1,793.16	$3,011.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.21 / $1,677.07 / $1,975.03	Professional		$1,310.21	$1,677.07	$1,975.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,371.24 / $1,799.55 / $2,535.42	Facility		$1,371.24	$1,799.55	$2,535.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,715.00 / $1,932.00 / $2,556.00	Professional		$1,715.00	$1,932.00	$2,556.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,748.22 / $5,863.45	Facility		$1,291.00	$1,748.22	$5,863.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,291.00 / $1,748.22 / $5,863.45	Professional		$1,291.00	$1,748.22	$5,863.45
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 $1,089.08 / $1,695.22 / $2,607.81	Professional		$1,089.08	$1,695.22	$2,607.81