Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.48 / $4,771.00 / $9,539.00	Facility		$1,052.48	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.26 / $1,052.48 / $1,480.56	Professional		$871.26	$1,052.48	$1,480.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.67 / $1,061.16 / $1,481.16	Professional		$834.67	$1,061.16	$1,481.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,115.92 / $1,155.66 / $2,253.54	Professional		$1,115.92	$1,155.66	$2,253.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.80 / $1,231.14 / $2,113.67	Professional		$911.80	$1,231.14	$2,113.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.32 / $1,029.98 / $1,270.31	Professional		$858.32	$1,029.98	$1,270.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $990.07 / $1,242.72 / $1,731.50	Facility		$990.07	$1,242.72	$1,731.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,283.99 / $2,110.51	Professional		$1,144.00	$1,283.99	$2,110.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $883.70 / $1,180.98 / $4,071.00	Facility		$883.70	$1,180.98	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $883.70 / $1,180.98 / $4,071.00	Professional		$883.70	$1,180.98	$4,071.00
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 $819.63 / $1,293.33 / $2,032.91	Professional		$819.63	$1,293.33	$2,032.91