Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.22 / $4,771.00 / $9,539.00	Facility		$1,308.22	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.77 / $1,308.22 / $1,428.49	Professional		$1,099.77	$1,308.22	$1,428.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.51 / $1,347.20 / $1,847.68	Professional		$1,053.51	$1,347.20	$1,847.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,322.96 / $1,481.72 / $2,579.77	Professional		$1,322.96	$1,481.72	$2,579.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.15 / $1,546.08 / $2,869.22	Professional		$1,159.15	$1,546.08	$2,869.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.17 / $1,309.40 / $1,614.93	Professional		$1,091.17	$1,309.40	$1,614.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,235.18 / $1,598.89 / $2,228.10	Facility		$1,235.18	$1,598.89	$2,228.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,475.00 / $1,626.00 / $2,677.94	Professional		$1,475.00	$1,626.00	$2,677.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,129.86 / $1,525.52 / $2,764.67	Facility		$1,129.86	$1,525.52	$2,764.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,129.86 / $1,525.52 / $2,764.67	Professional		$1,129.86	$1,525.52	$2,764.67
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 $961.71 / $1,532.98 / $2,494.56	Professional		$961.71	$1,532.98	$2,494.56