Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,630.78 / $9,549.93	Facility		$1,318.26	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,862.09	Professional		$1,071.52	$1,288.25	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $3,548.13	Professional		$1,148.15	$2,630.27	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $2,041.74	Professional		$741.31	$1,318.26	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,380.38	Professional		$933.25	$1,122.02	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,454.71	Professional		$870.96	$1,548.82	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,398.83	Facility		$1,023.29	$1,479.11	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $7,413.10	Facility		$741.31	$1,445.44	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $7,413.10	Professional		$741.31	$1,445.44	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,981.07	Facility		$1,096.48	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,398.83	Professional		$851.14	$1,318.26	$2,398.83