Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,612.06 / $4,771.00 / $9,539.00	Facility		$1,612.06	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,329.70 / $1,612.06 / $2,267.28	Professional		$1,329.70	$1,612.06	$2,267.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.44 / $1,618.77 / $2,256.25	Professional		$1,271.44	$1,618.77	$2,256.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,696.89 / $1,857.70 / $3,622.51	Professional		$1,696.89	$1,857.70	$3,622.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.45 / $1,818.23 / $3,237.14	Professional		$1,406.45	$1,818.23	$3,237.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.27 / $1,573.52 / $1,940.68	Professional		$1,311.27	$1,573.52	$1,940.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,612.06 / $1,955.21 / $2,772.82	Facility		$1,612.06	$1,955.21	$2,772.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,789.00 / $1,997.00 / $3,220.03	Professional		$1,789.00	$1,997.00	$3,220.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,319.77 / $1,802.11 / $4,462.00	Facility		$1,319.77	$1,802.11	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,319.77 / $1,802.11 / $4,462.00	Professional		$1,319.77	$1,802.11	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.82 / $1,795.00 / $2,938.33	Professional		$1,252.82	$1,795.00	$2,938.33