Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.85 / $8,708.00 / $17,325.00	Facility		$1,657.85	$8,708.00	$17,325.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $1,548.21 / $2,965.63	Professional		$1,193.58	$1,548.21	$2,965.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,099.00 / $16,960.88 / $23,318.49	Facility		$11,099.00	$16,960.88	$23,318.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,165.44 / $1,481.70 / $2,068.13	Professional		$1,165.44	$1,481.70	$2,068.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,406.67 / $1,495.19 / $2,915.62	Professional		$1,406.67	$1,495.19	$2,915.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.93 / $1,734.29 / $3,096.02	Professional		$1,261.93	$1,734.29	$3,096.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.45 / $1,439.34 / $1,775.19	Professional		$1,199.45	$1,439.34	$1,775.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,359.05 / $1,820.29 / $2,613.79	Facility		$1,359.05	$1,820.29	$2,613.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,648.00 / $1,816.00 / $3,192.00	Professional		$1,648.00	$1,816.00	$3,192.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,301.68 / $1,736.00 / $4,462.00	Facility		$1,301.68	$1,736.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,301.68 / $1,736.00 / $4,462.00	Professional		$1,301.68	$1,736.00	$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 $1,194.88 / $1,832.15 / $2,963.63	Professional		$1,194.88	$1,832.15	$2,963.63