Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $9,549.93	Facility		$1,258.93	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,187.76	Professional		$1,122.02	$1,318.26	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,595.87 / $22,908.68	Facility		$8,709.64	$16,595.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,137.96	Professional		$1,122.02	$1,513.56	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,905.46	Professional		$1,202.26	$1,513.56	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,398.83	Professional		$1,148.15	$1,513.56	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $3,162.28	Professional		$1,023.29	$1,258.93	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,754.23	Professional		$1,548.82	$1,905.46	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,511.89	Facility		$1,174.90	$1,659.59	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $5,248.07	Facility		$1,096.48	$1,621.81	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $5,248.07	Professional		$1,096.48	$1,621.81	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,511.89	Professional		$977.24	$1,479.11	$2,511.89