Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.37 / $4,771.00 / $9,539.00	Facility		$1,431.37	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.13 / $1,431.37 / $1,759.60	Professional		$1,211.13	$1,431.37	$1,759.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.54 / $1,497.72 / $2,128.40	Professional		$1,157.54	$1,497.72	$2,128.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,413.32 / $1,415.72 / $2,755.97	Professional		$1,413.32	$1,415.72	$2,755.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,443.47	Facility		$490.00	$610.00	$1,443.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.14 / $1,546.54 / $2,761.69	Professional		$1,088.14	$1,546.54	$2,761.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.28 / $1,451.81 / $2,086.67	Professional		$1,175.28	$1,451.81	$2,086.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,303.71 / $1,635.03 / $2,420.30	Facility		$1,303.71	$1,635.03	$2,420.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,488.00 / $1,775.00 / $2,928.82	Professional		$1,488.00	$1,775.00	$2,928.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,245.29 / $1,538.30 / $2,817.19	Facility		$1,245.29	$1,538.30	$2,817.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,245.29 / $1,538.30 / $2,817.19	Professional		$1,245.29	$1,538.30	$2,817.19
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 $985.55 / $1,448.25 / $2,376.44	Professional		$985.55	$1,448.25	$2,376.44