Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.55 / $4,771.00 / $9,539.00	Facility		$1,410.55	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.21 / $1,410.55 / $1,871.42	Professional		$1,197.21	$1,410.55	$1,871.42
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 $1,141.14 / $1,473.69 / $2,087.17	Professional		$1,141.14	$1,473.69	$2,087.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,389.99 / $1,394.91 / $2,710.48	Professional		$1,389.99	$1,394.91	$2,710.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,423.86	Facility		$490.00	$610.00	$1,423.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.47 / $1,507.84 / $2,716.23	Professional		$1,048.47	$1,507.84	$2,716.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.42 / $1,430.99 / $2,044.28	Professional		$1,158.42	$1,430.99	$2,044.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,609.58 / $2,411.39	Facility		$1,255.69	$1,609.58	$2,411.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,424.00 / $1,746.00 / $2,886.91	Professional		$1,424.00	$1,746.00	$2,886.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,188.09 / $1,514.27 / $2,770.48	Facility		$1,188.09	$1,514.27	$2,770.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,188.09 / $1,514.27 / $2,770.48	Professional		$1,188.09	$1,514.27	$2,770.48
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 $968.53 / $1,403.22 / $2,422.13	Professional		$968.53	$1,403.22	$2,422.13