Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,724.62 / $4,796.00 / $9,539.00	Facility		$1,724.62	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.02 / $1,724.62 / $3,205.94	Professional		$1,446.02	$1,724.62	$3,205.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.23 / $1,749.69 / $2,442.19	Professional		$1,376.23	$1,749.69	$2,442.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,835.06 / $1,992.86 / $3,886.08	Professional		$1,835.06	$1,992.86	$3,886.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.36 / $1,991.32 / $3,497.74	Professional		$1,497.36	$1,991.32	$3,497.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,413.28 / $1,695.94 / $2,091.65	Professional		$1,413.28	$1,695.94	$2,091.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,674.09 / $2,093.44 / $2,914.61	Facility		$1,674.09	$2,093.44	$2,914.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,908.00 / $2,161.00 / $3,477.05	Professional		$1,908.00	$2,161.00	$3,477.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,486.17 / $1,976.49 / $4,462.00	Facility		$1,486.17	$1,976.49	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,486.17 / $1,976.49 / $4,462.00	Professional		$1,486.17	$1,976.49	$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 $1,352.93 / $2,030.93 / $3,174.87	Professional		$1,352.93	$2,030.93	$3,174.87