Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.80 / $4,771.00 / $9,539.00	Facility		$1,250.80	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.08 / $1,250.80 / $1,364.04	Professional		$1,038.08	$1,250.80	$1,364.04
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 $1,006.18 / $1,286.68 / $1,764.68	Professional		$1,006.18	$1,286.68	$1,764.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,266.71 / $1,542.39 / $2,685.40	Professional		$1,266.71	$1,542.39	$2,685.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.47 / $1,486.12 / $2,741.61	Professional		$1,107.47	$1,486.12	$2,741.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.52 / $1,251.02 / $1,542.93	Professional		$1,042.52	$1,251.02	$1,542.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,180.40 / $1,527.59 / $2,131.73	Facility		$1,180.40	$1,527.59	$2,131.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,387.00 / $1,570.48 / $2,557.96	Professional		$1,387.00	$1,570.48	$2,557.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,108.33 / $1,521.96 / $2,642.46	Facility		$1,108.33	$1,521.96	$2,642.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,108.33 / $1,521.96 / $2,642.46	Professional		$1,108.33	$1,521.96	$2,642.46
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 $910.04 / $1,458.10 / $2,384.75	Professional		$910.04	$1,458.10	$2,384.75