Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.86 / $4,771.00 / $9,539.00	Facility		$1,104.86	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.29 / $1,104.86 / $1,571.08	Professional		$925.29	$1,104.86	$1,571.08
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 $885.69 / $1,127.65 / $1,571.72	Professional		$885.69	$1,127.65	$1,571.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,034.42 / $1,129.77 / $2,017.12	Professional		$1,034.42	$1,129.77	$2,017.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $1,336.94 / $2,242.46	Professional		$967.34	$1,336.94	$2,242.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.61 / $1,092.73 / $1,347.70	Professional		$910.61	$1,092.73	$1,347.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,050.20 / $1,369.76 / $1,953.64	Facility		$1,050.20	$1,369.76	$1,953.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,207.00 / $1,388.00 / $2,239.06	Professional		$1,207.00	$1,388.00	$2,239.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $958.08 / $1,264.66 / $4,297.77	Facility		$958.08	$1,264.66	$4,297.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $958.08 / $1,264.66 / $4,297.77	Professional		$958.08	$1,264.66	$4,297.77
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 $869.08 / $1,367.97 / $2,155.56	Professional		$869.08	$1,367.97	$2,155.56