Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.89 / $5,412.00 / $10,767.00	Facility		$1,524.89	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.64 / $1,433.21 / $1,652.27	Professional		$1,201.64	$1,433.21	$1,652.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.16 / $1,478.47 / $2,027.72	Professional		$1,156.16	$1,478.47	$2,027.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,415.82 / $2,044.63 / $5,354.00	Professional		$1,415.82	$2,044.63	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.67 / $1,686.18 / $3,110.13	Professional		$1,217.67	$1,686.18	$3,110.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.97 / $1,425.56 / $1,758.20	Professional		$1,187.97	$1,425.56	$1,758.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,377.32 / $1,677.60 / $2,547.38	Facility		$1,377.32	$1,677.60	$2,547.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,562.93 / $1,829.00 / $2,937.98	Professional		$1,562.93	$1,829.00	$2,937.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,256.88 / $1,627.09 / $4,762.84	Facility		$1,256.88	$1,627.09	$4,762.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,256.88 / $1,627.09 / $4,762.84	Professional		$1,256.88	$1,627.09	$4,762.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.36 / $1,572.66 / $2,749.49	Professional		$1,032.36	$1,572.66	$2,749.49