Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.00 / $4,771.00 / $9,539.00	Facility		$1,271.00	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.33 / $1,271.00 / $1,545.97	Professional		$1,092.33	$1,271.00	$1,545.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.91 / $1,305.94 / $1,859.92	Professional		$1,036.91	$1,305.94	$1,859.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,225.13 / $1,330.19 / $2,593.87	Professional		$1,225.13	$1,330.19	$2,593.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,268.99	Facility		$490.00	$610.00	$1,268.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $1,513.67 / $2,547.44	Professional		$1,086.00	$1,513.67	$2,547.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.22 / $1,243.66 / $1,838.61	Professional		$1,015.22	$1,243.66	$1,838.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,158.40 / $1,553.09 / $2,147.98	Facility		$1,158.40	$1,553.09	$2,147.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,399.00 / $1,576.00 / $2,551.08	Professional		$1,399.00	$1,576.00	$2,551.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,153.09 / $1,482.02 / $2,555.94	Facility		$1,153.09	$1,482.02	$2,555.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,482.02 / $2,555.94	Professional		$1,153.09	$1,482.02	$2,555.94
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.22 / $1,458.70 / $2,219.32	Professional		$941.22	$1,458.70	$2,219.32