Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $9,549.93	Facility		$1,174.90	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,659.59	Professional		$954.99	$1,148.15	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,659.59	Professional		$891.25	$1,174.90	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,311.31 / $4,466.84	Professional		$1,071.52	$3,311.31	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,819.70	Professional		$977.24	$1,288.25	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,230.27	Professional		$831.76	$1,000.00	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,187.76	Professional		$1,445.44	$1,862.09	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,137.96	Facility		$954.99	$1,479.11	$2,137.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $10,000.00	Facility		$891.25	$1,412.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $10,000.00	Professional		$891.25	$1,412.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $2,137.96	Professional		$851.14	$1,445.44	$2,137.96