Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.74 / $4,796.00 / $9,539.00	Facility		$1,623.74	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.19 / $1,623.74 / $1,981.99	Professional		$1,380.19	$1,623.74	$1,981.99
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 $1,315.05 / $1,681.65 / $2,377.17	Professional		$1,315.05	$1,681.65	$2,377.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,580.39 / $1,607.92 / $3,135.44	Professional		$1,580.39	$1,607.92	$3,135.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,630.92	Facility		$490.00	$610.00	$1,630.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.00 / $1,806.00 / $3,089.85	Professional		$1,244.00	$1,806.00	$3,089.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.64 / $1,619.03 / $2,430.84	Professional		$1,310.64	$1,619.03	$2,430.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,426.15 / $1,881.88 / $2,744.12	Facility		$1,426.15	$1,881.88	$2,744.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,761.00 / $2,041.00 / $3,286.75	Professional		$1,761.00	$2,041.00	$3,286.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,403.13 / $1,778.36 / $3,225.22	Facility		$1,403.13	$1,778.36	$3,225.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,403.13 / $1,778.36 / $3,225.22	Professional		$1,403.13	$1,778.36	$3,225.22
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 $1,159.82 / $1,737.04 / $2,859.58	Professional		$1,159.82	$1,737.04	$2,859.58