Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.29 / $4,796.00 / $9,539.00	Facility		$1,861.29	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.34 / $1,861.29 / $2,298.19	Professional		$1,583.34	$1,861.29	$2,298.19
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 $1,493.60 / $1,946.17 / $2,724.99	Professional		$1,493.60	$1,946.17	$2,724.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,837.80 / $1,847.27 / $3,583.71	Professional		$1,837.80	$1,847.27	$3,583.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,879.75	Facility		$490.00	$610.00	$1,879.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.41 / $1,997.15 / $3,608.38	Professional		$1,385.41	$1,997.15	$3,608.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,535.02 / $1,896.20 / $2,708.85	Professional		$1,535.02	$1,896.20	$2,708.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,645.08 / $2,101.32 / $3,145.58	Facility		$1,645.08	$2,101.32	$3,145.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,927.00 / $2,312.73 / $3,819.14	Professional		$1,927.00	$2,312.73	$3,819.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,565.25 / $1,997.64 / $3,658.00	Facility		$1,565.25	$1,997.64	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,565.25 / $1,997.64 / $3,658.00	Professional		$1,565.25	$1,997.64	$3,658.00
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 $1,285.41 / $1,887.22 / $3,219.13	Professional		$1,285.41	$1,887.22	$3,219.13