Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.91 / $4,771.00 / $9,539.00	Facility		$1,570.91	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.80 / $1,570.91 / $1,714.94	Professional		$1,305.80	$1,570.91	$1,714.94
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 $1,264.65 / $1,617.20 / $2,217.98	Professional		$1,264.65	$1,617.20	$2,217.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,591.97 / $1,791.14 / $3,118.50	Professional		$1,591.97	$1,791.14	$3,118.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.18 / $1,868.09 / $3,445.40	Professional		$1,391.18	$1,868.09	$3,445.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,309.59 / $1,571.52 / $1,938.21	Professional		$1,309.59	$1,571.52	$1,938.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,482.59 / $1,929.27 / $2,676.76	Facility		$1,482.59	$1,929.27	$2,676.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,743.00 / $1,943.00 / $3,214.68	Professional		$1,743.00	$1,943.00	$3,214.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,393.30 / $1,852.25 / $3,320.18	Facility		$1,393.30	$1,852.25	$3,320.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,393.30 / $1,852.25 / $3,320.18	Professional		$1,393.30	$1,852.25	$3,320.18
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 $1,182.24 / $1,844.15 / $2,996.52	Professional		$1,182.24	$1,844.15	$2,996.52