Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $8,912.51	Facility		$1,380.38	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,570.40	Professional		$1,174.90	$1,412.54	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,238.72	Professional		$1,174.90	$1,584.89	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $14,454.40	Professional		$1,318.26	$2,041.74	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,570.40	Professional		$1,202.26	$1,584.89	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $3,162.28	Professional		$1,023.29	$1,258.93	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,884.03	Professional		$1,698.24	$2,089.30	$2,884.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,691.53	Facility		$1,202.26	$1,698.24	$2,691.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $10,000.00	Facility		$1,174.90	$1,621.81	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $10,000.00	Professional		$1,174.90	$1,621.81	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,511.89	Professional		$1,000.00	$1,548.82	$2,511.89