Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.98 / $5,048.00 / $9,539.00	Facility		$2,223.98	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.81 / $2,223.98 / $2,688.96	Professional		$1,745.81	$2,223.98	$2,688.96
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 $1,797.25 / $2,341.83 / $3,268.08	Professional		$1,797.25	$2,341.83	$3,268.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,999.47 / $2,227.94 / $3,898.97	Professional		$1,999.47	$2,227.94	$3,898.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,256.13	Facility		$490.00	$610.00	$2,256.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.32 / $2,313.71 / $4,184.74	Professional		$1,589.32	$2,313.71	$4,184.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,854.71 / $2,291.11 / $3,113.35	Professional		$1,854.71	$2,291.11	$3,113.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,890.38 / $2,448.36 / $3,705.28	Facility		$1,890.38	$2,448.36	$3,705.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,166.00 / $2,707.62 / $4,480.00	Professional		$2,166.00	$2,707.62	$4,480.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,762.02 / $2,286.17 / $4,306.93	Facility		$1,762.02	$2,286.17	$4,306.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,762.02 / $2,286.17 / $4,306.93	Professional		$1,762.02	$2,286.17	$4,306.93
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,491.73 / $2,233.39 / $3,873.47	Professional		$1,491.73	$2,233.39	$3,873.47