Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.14 / $4,771.00 / $9,539.00	Facility		$1,517.14	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.27 / $1,517.14 / $1,863.52	Professional		$1,280.27	$1,517.14	$1,863.52
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 $1,228.01 / $1,588.90 / $2,246.06	Professional		$1,228.01	$1,588.90	$2,246.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,496.34 / $1,499.74 / $2,917.86	Professional		$1,496.34	$1,499.74	$2,917.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,533.78	Facility		$490.00	$610.00	$1,533.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.92 / $1,613.86 / $2,925.91	Professional		$1,126.92	$1,613.86	$2,925.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.00 / $1,539.17 / $2,200.65	Professional		$1,246.00	$1,539.17	$2,200.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,325.00 / $1,697.08 / $2,563.96	Facility		$1,325.00	$1,697.08	$2,563.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,533.00 / $1,886.00 / $3,105.60	Professional		$1,533.00	$1,886.00	$3,105.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,254.33 / $1,627.11 / $2,983.56	Facility		$1,254.33	$1,627.11	$2,983.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,254.33 / $1,627.11 / $2,983.56	Professional		$1,254.33	$1,627.11	$2,983.56
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,974.00 / $5,445.00	Facility		$425.00	$2,974.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.46 / $1,529.55 / $2,653.66	Professional		$1,042.46	$1,529.55	$2,653.66