Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.59 / $4,771.00 / $9,539.00	Facility		$1,062.59	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.31 / $1,059.85 / $1,062.59	Professional		$869.31	$1,059.85	$1,062.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.82 / $1,095.68 / $1,502.72	Professional		$856.82	$1,095.68	$1,502.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,032.36 / $1,181.85 / $2,057.69	Professional		$1,032.36	$1,181.85	$2,057.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.08 / $1,250.40 / $2,385.41	Professional		$914.08	$1,250.40	$2,385.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.56 / $1,051.86 / $1,297.31	Professional		$876.56	$1,051.86	$1,297.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,013.61 / $1,255.80 / $1,795.79	Facility		$1,013.61	$1,255.80	$1,795.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,179.00 / $1,322.00 / $2,143.54	Professional		$1,179.00	$1,322.00	$2,143.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $915.69 / $1,227.00 / $2,289.28	Facility		$915.69	$1,227.00	$2,289.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $915.69 / $1,227.00 / $2,289.28	Professional		$915.69	$1,227.00	$2,289.28
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 $776.75 / $1,203.06 / $2,068.71	Professional		$776.75	$1,203.06	$2,068.71