Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.47 / $4,796.00 / $9,539.00	Facility		$1,637.47	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.45 / $1,637.47 / $2,001.91	Professional		$1,382.45	$1,637.47	$2,001.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.40 / $1,703.26 / $2,407.71	Professional		$1,316.40	$1,703.26	$2,407.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,603.65 / $1,625.15 / $3,169.04	Professional		$1,603.65	$1,625.15	$3,169.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,648.58	Facility		$490.00	$610.00	$1,648.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.85 / $1,781.93 / $3,122.86	Professional		$1,247.85	$1,781.93	$3,122.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,330.51 / $1,643.58 / $2,437.71	Professional		$1,330.51	$1,643.58	$2,437.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,438.81 / $1,876.98 / $2,767.32	Facility		$1,438.81	$1,876.98	$2,767.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,680.00 / $2,066.00 / $3,330.62	Professional		$1,680.00	$2,066.00	$3,330.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,401.99 / $1,777.06 / $3,207.07	Facility		$1,401.99	$1,777.06	$3,207.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,401.99 / $1,777.06 / $3,207.07	Professional		$1,401.99	$1,777.06	$3,207.07
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.43 / $1,645.83 / $2,700.66	Professional		$1,127.43	$1,645.83	$2,700.66