Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.55 / $4,771.00 / $9,539.00	Facility		$1,064.55	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.62 / $1,064.55 / $1,495.13	Professional		$982.62	$1,064.55	$1,495.13
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 $844.39 / $1,075.05 / $1,498.41	Professional		$844.39	$1,075.05	$1,498.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,016.59 / $1,157.68 / $2,257.48	Professional		$1,016.59	$1,157.68	$2,257.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.73 / $1,296.40 / $2,155.30	Professional		$939.73	$1,296.40	$2,155.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.25 / $1,037.09 / $1,279.08	Professional		$864.25	$1,037.09	$1,279.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,064.55 / $1,306.49 / $1,954.32	Facility		$1,064.55	$1,306.49	$1,954.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,464.00 / $2,128.13	Professional		$1,305.00	$1,464.00	$2,128.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $974.32 / $1,324.22 / $4,130.72	Facility		$974.32	$1,324.22	$4,130.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $974.32 / $1,324.22 / $4,130.72	Professional		$974.32	$1,324.22	$4,130.72
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 $829.09 / $1,432.60 / $2,056.37	Professional		$829.09	$1,432.60	$2,056.37