Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.00 / $4,771.00 / $9,539.00	Facility		$1,473.00	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.02 / $1,473.00 / $1,820.39	Professional		$1,253.02	$1,473.00	$1,820.39
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 $1,197.94 / $1,549.99 / $2,191.06	Professional		$1,197.94	$1,549.99	$2,191.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,462.79 / $1,465.15 / $2,852.44	Professional		$1,462.79	$1,465.15	$2,852.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,493.83	Facility		$490.00	$610.00	$1,493.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.25 / $1,589.03 / $2,857.90	Professional		$1,122.25	$1,589.03	$2,857.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.80 / $1,501.87 / $2,145.53	Professional		$1,215.80	$1,501.87	$2,145.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,316.66 / $1,669.64 / $2,489.37	Facility		$1,316.66	$1,669.64	$2,489.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,520.00 / $1,836.00 / $3,030.91	Professional		$1,520.00	$1,836.00	$3,030.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,242.19 / $1,592.12 / $2,914.97	Facility		$1,242.19	$1,592.12	$2,914.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,242.19 / $1,592.12 / $2,914.97	Professional		$1,242.19	$1,592.12	$2,914.97
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 $988.98 / $1,498.30 / $2,458.57	Professional		$988.98	$1,498.30	$2,458.57