Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.83 / $4,771.00 / $9,539.00	Facility		$1,269.83	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.05 / $1,269.83 / $1,795.16	Professional		$1,077.05	$1,269.83	$1,795.16
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 $1,014.18 / $1,291.23 / $1,799.72	Professional		$1,014.18	$1,291.23	$1,799.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,326.94 / $1,326.94 / $2,587.53	Professional		$1,326.94	$1,326.94	$2,587.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.78 / $1,508.95 / $2,588.16	Professional		$1,121.78	$1,508.95	$2,588.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.67 / $1,245.20 / $1,535.75	Professional		$1,037.67	$1,245.20	$1,535.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,252.33 / $1,568.15 / $2,346.21	Facility		$1,252.33	$1,568.15	$2,346.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,448.00 / $1,632.00 / $2,555.46	Professional		$1,448.00	$1,632.00	$2,555.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,169.71 / $1,545.02 / $4,462.00	Facility		$1,169.71	$1,545.02	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,169.71 / $1,545.02 / $4,462.00	Professional		$1,169.71	$1,545.02	$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 $995.21 / $1,607.98 / $2,456.42	Professional		$995.21	$1,607.98	$2,456.42