Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.03 / $5,048.00 / $9,918.00	Facility		$2,051.03	$5,048.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.34 / $2,051.03 / $2,509.03	Professional		$1,720.34	$2,051.03	$2,509.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,656.22 / $2,137.92 / $3,022.16	Professional		$1,656.22	$2,137.92	$3,022.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,013.82 / $2,015.92 / $3,931.04	Professional		$2,013.82	$2,015.92	$3,931.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,068.42	Facility		$490.00	$610.00	$2,068.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.88 / $2,215.19 / $3,937.29	Professional		$1,556.88	$2,215.19	$3,937.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.92 / $2,066.55 / $2,952.21	Professional		$1,672.92	$2,066.55	$2,952.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,871.12 / $2,336.98 / $3,466.24	Facility		$1,871.12	$2,336.98	$3,466.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,165.00 / $2,529.00 / $4,175.68	Professional		$2,165.00	$2,529.00	$4,175.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,188.26 / $3,971.16	Facility		$1,736.00	$2,188.26	$3,971.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,188.26 / $3,971.16	Professional		$1,736.00	$2,188.26	$3,971.16
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 $1,401.05 / $2,071.10 / $3,584.79	Professional		$1,401.05	$2,071.10	$3,584.79