Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.34 / $4,796.00 / $9,539.00	Facility		$1,663.34	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.45 / $1,663.34 / $1,815.01	Professional		$1,383.45	$1,663.34	$1,815.01
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 $1,335.94 / $1,708.37 / $2,343.02	Professional		$1,335.94	$1,708.37	$2,343.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,681.20 / $1,960.08 / $3,412.64	Professional		$1,681.20	$1,960.08	$3,412.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.09 / $1,965.76 / $3,643.48	Professional		$1,469.09	$1,965.76	$3,643.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,382.93 / $1,659.52 / $2,046.74	Professional		$1,382.93	$1,659.52	$2,046.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,565.17 / $2,041.36 / $2,830.72	Facility		$1,565.17	$2,041.36	$2,830.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,845.00 / $2,045.00 / $3,395.81	Professional		$1,845.00	$2,045.00	$3,395.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,435.05 / $1,938.98 / $3,511.16	Facility		$1,435.05	$1,938.98	$3,511.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,435.05 / $1,938.98 / $3,511.16	Professional		$1,435.05	$1,938.98	$3,511.16
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 $1,257.44 / $1,921.08 / $3,167.94	Professional		$1,257.44	$1,921.08	$3,167.94