Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.75 / $5,028.00 / $10,637.11	Facility		$1,402.75	$5,028.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.28 / $1,399.72 / $2,572.44	Professional		$1,354.28	$1,399.72	$2,572.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.20 / $1,674.18 / $2,296.13	Professional		$1,309.20	$1,674.18	$2,296.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,544.06 / $2,311.89 / $9,211.00	Professional		$1,544.06	$2,311.89	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.36 / $1,678.34 / $3,427.93	Professional		$1,203.36	$1,678.34	$3,427.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,339.69 / $1,607.63 / $1,982.74	Professional		$1,339.69	$1,607.63	$1,982.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,399.72 / $1,756.01 / $2,537.42	Facility		$1,399.72	$1,756.01	$2,537.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,449.00 / $1,751.00 / $2,883.00	Professional		$1,449.00	$1,751.00	$2,883.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,205.73 / $1,706.06 / $6,585.00	Facility		$1,205.73	$1,706.06	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,205.73 / $1,706.06 / $6,585.00	Professional		$1,205.73	$1,706.06	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.90 / $1,681.39 / $2,854.60	Professional		$1,078.90	$1,681.39	$2,854.60