Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $4,796.00 / $9,539.00	Facility		$1,690.00	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.26 / $1,690.00 / $2,302.42	Professional		$1,418.26	$1,690.00	$2,302.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,297.56 / $1,652.03 / $2,302.61	Professional		$1,297.56	$1,652.03	$2,302.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,558.55 / $1,832.83 / $3,574.02	Professional		$1,558.55	$1,832.83	$3,574.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.01 / $1,853.59 / $3,327.15	Professional		$1,359.01	$1,853.59	$3,327.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.86 / $1,591.03 / $1,962.27	Professional		$1,325.86	$1,591.03	$1,962.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,687.90 / $1,956.18 / $2,978.83	Facility		$1,687.90	$1,956.18	$2,978.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,790.00 / $2,102.00 / $3,267.31	Professional		$1,790.00	$2,102.00	$3,267.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,339.22 / $1,928.00 / $4,462.00	Facility		$1,339.22	$1,928.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,339.22 / $1,928.00 / $4,462.00	Professional		$1,339.22	$1,928.00	$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 $1,277.44 / $1,715.88 / $3,020.03	Professional		$1,277.44	$1,715.88	$3,020.03