Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.38 / $4,771.00 / $9,539.00	Facility		$1,188.38	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.36 / $1,188.38 / $1,313.23	Professional		$1,054.36	$1,188.38	$1,313.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.03 / $1,278.82 / $1,753.90	Professional		$1,000.03	$1,278.82	$1,753.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,269.60 / $1,436.60 / $2,501.23	Professional		$1,269.60	$1,436.60	$2,501.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.66 / $1,404.45 / $2,693.82	Professional		$1,044.66	$1,404.45	$2,693.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,019.18 / $1,223.02 / $1,508.39	Professional		$1,019.18	$1,223.02	$1,508.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,177.94 / $1,432.52 / $2,008.36	Facility		$1,177.94	$1,432.52	$2,008.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,309.08 / $1,540.00 / $2,501.16	Professional		$1,309.08	$1,540.00	$2,501.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,066.92 / $1,383.13 / $2,662.95	Facility		$1,066.92	$1,383.13	$2,662.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,066.92 / $1,383.13 / $2,662.95	Professional		$1,066.92	$1,383.13	$2,662.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $908.59 / $1,350.05 / $2,381.44	Professional		$908.59	$1,350.05	$2,381.44