Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.35 / $4,771.00 / $9,539.00	Facility		$1,488.35	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.15 / $1,488.35 / $2,097.46	Professional		$1,280.15	$1,488.35	$2,097.46
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 $1,186.70 / $1,510.88 / $2,105.86	Professional		$1,186.70	$1,510.88	$2,105.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,444.22 / $1,590.59 / $3,101.65	Professional		$1,444.22	$1,590.59	$3,101.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.90 / $1,711.67 / $2,990.62	Professional		$1,296.90	$1,711.67	$2,990.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.84 / $1,465.02 / $1,806.86	Professional		$1,220.84	$1,465.02	$1,806.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,454.79 / $1,813.20 / $2,615.00	Facility		$1,454.79	$1,813.20	$2,615.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,678.43 / $1,894.00 / $3,001.58	Professional		$1,678.43	$1,894.00	$3,001.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.41 / $1,744.20 / $4,462.00	Facility		$1,230.41	$1,744.20	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.41 / $1,744.20 / $4,462.00	Professional		$1,230.41	$1,744.20	$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 $1,160.77 / $1,728.10 / $2,853.88	Professional		$1,160.77	$1,728.10	$2,853.88