Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.67 / $5,048.00 / $9,918.00	Facility		$1,766.67	$5,048.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.64 / $1,766.67 / $2,168.01	Professional		$1,483.64	$1,766.67	$2,168.01
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 $1,410.93 / $1,804.26 / $2,550.50	Professional		$1,410.93	$1,804.26	$2,550.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,694.08 / $1,754.54 / $3,421.35	Professional		$1,694.08	$1,754.54	$3,421.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,749.91	Facility		$490.00	$610.00	$1,749.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.77 / $1,923.10 / $3,376.14	Professional		$1,383.77	$1,923.10	$3,376.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.51 / $1,747.00 / $2,585.92	Professional		$1,405.51	$1,747.00	$2,585.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,581.57 / $1,980.61 / $2,985.67	Facility		$1,581.57	$1,980.61	$2,985.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,958.00 / $2,232.83 / $3,580.13	Professional		$1,958.00	$2,232.83	$3,580.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,522.22 / $1,935.64 / $3,380.47	Facility		$1,522.22	$1,935.64	$3,380.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,522.22 / $1,935.64 / $3,380.47	Professional		$1,522.22	$1,935.64	$3,380.47
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 $1,197.19 / $1,784.17 / $2,978.65	Professional		$1,197.19	$1,784.17	$2,978.65