Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.80 / $4,771.00 / $9,539.00	Facility		$1,259.80	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.68 / $1,259.80 / $1,777.45	Professional		$1,038.68	$1,259.80	$1,777.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.47 / $1,269.96 / $1,770.07	Professional		$997.47	$1,269.96	$1,770.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,332.96 / $1,472.74 / $2,871.84	Professional		$1,332.96	$1,472.74	$2,871.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.93 / $1,418.90 / $2,535.87	Professional		$1,102.93	$1,418.90	$2,535.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.88 / $1,235.85 / $1,524.22	Professional		$1,029.88	$1,235.85	$1,524.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,239.65 / $1,537.05 / $2,218.73	Facility		$1,239.65	$1,537.05	$2,218.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,394.00 / $1,558.00 / $2,527.34	Professional		$1,394.00	$1,558.00	$2,527.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,080.70 / $1,459.08 / $4,462.00	Facility		$1,080.70	$1,459.08	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,080.70 / $1,459.08 / $4,462.00	Professional		$1,080.70	$1,459.08	$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 $982.65 / $1,479.48 / $2,437.25	Professional		$982.65	$1,479.48	$2,437.25