Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,630.78 / $9,549.93	Facility		$1,380.38	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,905.46	Professional		$1,122.02	$1,318.26	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,905.46	Professional		$1,047.13	$1,380.38	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,995.26	Professional		$1,174.90	$1,479.11	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,137.96	Professional		$1,096.48	$1,412.54	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,513.56	Professional		$1,023.29	$1,230.27	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,570.40	Professional		$1,445.44	$1,819.70	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,511.89	Facility		$1,174.90	$1,621.81	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $7,413.10	Facility		$1,000.00	$1,479.11	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $7,413.10	Professional		$1,000.00	$1,479.11	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,454.71	Professional		$977.24	$1,513.56	$2,454.71