Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.00 / $4,771.00 / $9,539.00	Facility		$1,226.00	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.57 / $1,226.00 / $2,412.54	Professional		$1,071.57	$1,226.00	$2,412.54
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 $979.24 / $1,246.75 / $1,737.73	Professional		$979.24	$1,246.75	$1,737.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,312.37 / $1,425.29 / $2,779.32	Professional		$1,312.37	$1,425.29	$2,779.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.48 / $1,448.91 / $2,462.19	Professional		$1,105.48	$1,448.91	$2,462.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.98 / $1,209.58 / $1,491.81	Professional		$1,007.98	$1,209.58	$1,491.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,226.00 / $1,472.28 / $2,130.98	Facility		$1,226.00	$1,472.28	$2,130.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,362.00 / $1,526.00 / $2,477.81	Professional		$1,362.00	$1,526.00	$2,477.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,055.59 / $1,447.00 / $4,462.00	Facility		$1,055.59	$1,447.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,055.59 / $1,447.00 / $4,462.00	Professional		$1,055.59	$1,447.00	$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 $956.57 / $1,489.34 / $2,234.91	Professional		$956.57	$1,489.34	$2,234.91