Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.84 / $4,771.00 / $9,539.00	Facility		$1,430.84	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.09 / $1,430.84 / $1,763.09	Professional		$1,101.09	$1,430.84	$1,763.09
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 $1,160.79 / $1,503.23 / $2,124.96	Professional		$1,160.79	$1,503.23	$2,124.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,302.63 / $1,421.99 / $2,540.13	Professional		$1,302.63	$1,421.99	$2,540.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,447.58	Facility		$490.00	$610.00	$1,447.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.88 / $1,509.67 / $2,751.27	Professional		$1,044.88	$1,509.67	$2,751.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,183.08 / $1,461.45 / $1,935.60	Professional		$1,183.08	$1,461.45	$1,935.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,272.60 / $1,616.85 / $2,418.04	Facility		$1,272.60	$1,616.85	$2,418.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,422.00 / $1,730.00 / $2,931.00	Professional		$1,422.00	$1,730.00	$2,931.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,179.30 / $1,492.04 / $2,823.39	Facility		$1,179.30	$1,492.04	$2,823.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,179.30 / $1,492.04 / $2,823.39	Professional		$1,179.30	$1,492.04	$2,823.39
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 $977.62 / $1,437.52 / $2,375.40	Professional		$977.62	$1,437.52	$2,375.40