Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.17 / $5,412.00 / $11,425.00	Facility		$1,111.17	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.24 / $1,111.17 / $1,382.79	Professional		$896.24	$1,111.17	$1,382.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.99 / $1,158.56 / $1,646.42	Professional		$905.99	$1,158.56	$1,646.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,068.17 / $1,103.59 / $2,207.19	Professional		$1,068.17	$1,103.59	$2,207.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,142.00 / $3,282.37	Facility		$610.00	$1,142.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.60 / $1,199.51 / $2,112.66	Professional		$760.60	$1,199.51	$2,112.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $941.16 / $1,162.60 / $1,581.38	Professional		$941.16	$1,162.60	$1,581.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $944.49 / $1,259.33 / $1,962.71	Facility		$944.49	$1,259.33	$1,962.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.00 / $1,367.00 / $2,180.00	Professional		$1,096.00	$1,367.00	$2,180.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $898.93 / $1,199.66 / $2,318.38	Facility		$898.93	$1,199.66	$2,318.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $898.93 / $1,199.66 / $2,318.38	Professional		$898.93	$1,199.66	$2,318.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.12 / $1,178.46 / $1,895.62	Professional		$746.12	$1,178.46	$1,895.62