Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.32 / $5,412.00 / $10,767.00	Facility		$1,376.32	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.97 / $1,161.51 / $1,457.80	Professional		$948.97	$1,161.51	$1,457.80
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 $1,028.31 / $1,314.98 / $1,803.49	Professional		$1,028.31	$1,314.98	$1,803.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,212.33 / $1,811.92 / $9,211.00	Professional		$1,212.33	$1,811.92	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.85 / $1,373.13 / $2,612.62	Professional		$953.85	$1,373.13	$2,612.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.75 / $1,258.50 / $1,552.15	Professional		$1,048.75	$1,258.50	$1,552.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,161.51 / $1,425.49 / $2,060.76	Facility		$1,161.51	$1,425.49	$2,060.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,209.00 / $1,436.00 / $2,499.00	Professional		$1,209.00	$1,436.00	$2,499.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $980.28 / $1,365.21 / $6,585.00	Facility		$980.28	$1,365.21	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $980.28 / $1,365.21 / $6,585.00	Professional		$980.28	$1,365.21	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,439.00 / $21,639.00	Facility		$6,398.00	$10,439.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.31 / $1,231.36 / $2,287.30	Professional		$820.31	$1,231.36	$2,287.30