Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.36 / $5,412.00 / $10,767.00	Facility		$1,152.36	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.78 / $980.80 / $1,204.92	Professional		$864.78	$980.80	$1,204.92
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 $857.74 / $1,096.85 / $1,504.34	Professional		$857.74	$1,096.85	$1,504.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,124.79 / $1,718.77 / $13,882.00	Professional		$1,124.79	$1,718.77	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.02 / $1,169.65 / $2,148.56	Professional		$892.02	$1,169.65	$2,148.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.22 / $1,065.85 / $1,314.57	Professional		$888.22	$1,065.85	$1,314.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $980.80 / $1,203.71 / $1,794.86	Facility		$980.80	$1,203.71	$1,794.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,245.00 / $2,184.12	Professional		$1,083.00	$1,245.00	$2,184.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $837.21 / $1,159.55 / $6,585.00	Facility		$837.21	$1,159.55	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $837.21 / $1,159.55 / $6,585.00	Professional		$837.21	$1,159.55	$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 $713.18 / $1,200.55 / $1,958.56	Professional		$713.18	$1,200.55	$1,958.56