Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,248.07 / $16,595.87	Facility		$1,445.44	$5,248.07	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,691.53	Professional		$1,148.15	$1,380.38	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $18,620.87 / $25,703.96	Facility		$11,220.18	$18,620.87	$25,703.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $7,585.78	Professional		$1,258.93	$1,445.44	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,511.89	Professional		$1,071.52	$1,513.56	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,290.87	Professional		$1,148.15	$1,380.38	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $2,137.96	Professional		$1,584.89	$1,698.24	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,570.40	Facility		$1,258.93	$1,659.59	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $4,786.30	Facility		$1,202.26	$1,513.56	$4,786.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $4,786.30	Professional		$1,202.26	$1,513.56	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,317.64 / $19,054.61	Facility		$1,318.26	$8,317.64	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,454.71	Professional		$1,000.00	$1,445.44	$2,454.71