Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.32 / $5,412.00 / $11,425.00	Facility		$1,339.32	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.06 / $1,229.84 / $1,690.17	Professional		$1,105.06	$1,229.84	$1,690.17
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 $1,097.45 / $1,403.40 / $2,320.23	Professional		$1,097.45	$1,403.40	$2,320.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,363.88 / $1,397.82 / $9,951.00	Professional		$1,363.88	$1,397.82	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,346.78	Facility		$640.00	$640.00	$1,346.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.17 / $1,585.04 / $2,621.02	Professional		$1,167.17	$1,585.04	$2,621.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,127.42 / $1,443.10 / $1,694.28	Professional		$1,127.42	$1,443.10	$1,694.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,229.18 / $1,612.79 / $2,450.96	Facility		$1,229.18	$1,612.79	$2,450.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,493.00 / $1,715.00 / $2,307.00	Professional		$1,493.00	$1,715.00	$2,307.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,177.98 / $1,568.71 / $5,102.47	Facility		$1,177.98	$1,568.71	$5,102.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,177.98 / $1,568.71 / $5,102.47	Professional		$1,177.98	$1,568.71	$5,102.47
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.47 / $1,458.02 / $2,288.48	Professional		$977.47	$1,458.02	$2,288.48