Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $9,549.93	Facility		$1,513.56	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,187.76	Professional		$1,202.26	$1,445.44	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,089.30	Professional		$1,122.02	$1,479.11	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,089.30	Professional		$1,230.27	$1,513.56	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,290.87	Professional		$1,174.90	$1,584.89	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,621.81	Professional		$1,096.48	$1,318.26	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,754.23	Professional		$1,621.81	$2,041.74	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,754.23	Facility		$1,258.93	$1,737.80	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $7,413.10	Facility		$1,122.02	$1,621.81	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $7,413.10	Professional		$1,122.02	$1,621.81	$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 $1,047.13 / $1,621.81 / $2,630.27	Professional		$1,047.13	$1,621.81	$2,630.27