Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.86 / $3,645.00 / $8,294.00	Facility		$1,201.86	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $1,157.70 / $1,417.19	Professional		$983.72	$1,157.70	$1,417.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.55 / $1,212.06 / $1,716.63	Professional		$938.55	$1,212.06	$1,716.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,076.98 / $1,091.86 / $2,164.73	Professional		$1,076.98	$1,091.86	$2,164.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,168.74 / $1,572.88	Facility		$425.00	$1,168.74	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.78 / $1,237.91 / $2,226.13	Professional		$872.78	$1,237.91	$2,226.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.66 / $1,162.28 / $1,674.20	Professional		$899.66	$1,162.28	$1,674.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,048.59 / $1,313.13 / $1,956.51	Facility		$1,048.59	$1,313.13	$1,956.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,204.34 / $1,435.00 / $2,375.92	Professional		$1,204.34	$1,435.00	$2,375.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $997.46 / $1,239.72 / $2,394.15	Facility		$997.46	$1,239.72	$2,394.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $997.46 / $1,239.72 / $2,394.15	Professional		$997.46	$1,239.72	$2,394.15
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.42 / $1,165.91 / $1,913.16	Professional		$785.42	$1,165.91	$1,913.16