Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.85 / $4,771.00 / $9,539.00	Facility		$1,366.85	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.68 / $1,366.85 / $1,920.97	Professional		$1,181.68	$1,366.85	$1,920.97
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 $1,085.25 / $1,381.72 / $1,925.84	Professional		$1,085.25	$1,381.72	$1,925.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,305.41 / $1,535.51 / $2,994.24	Professional		$1,305.41	$1,535.51	$2,994.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.29 / $1,615.37 / $2,771.62	Professional		$1,207.29	$1,615.37	$2,771.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.33 / $1,332.41 / $1,643.30	Professional		$1,110.33	$1,332.41	$1,643.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,366.85 / $1,681.03 / $2,501.34	Facility		$1,366.85	$1,681.03	$2,501.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,582.00 / $1,757.00 / $2,733.98	Professional		$1,582.00	$1,757.00	$2,733.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,223.85 / $1,649.55 / $4,462.00	Facility		$1,223.85	$1,649.55	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,223.85 / $1,649.55 / $4,462.00	Professional		$1,223.85	$1,649.55	$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 $1,065.23 / $1,676.53 / $2,642.07	Professional		$1,065.23	$1,676.53	$2,642.07